Victory Care Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0000779083-0001-0 Issued in CA

Legal business name

VICTORY CARE MEDICAL SUPPLY INC.

Practice address

6342 Coldwater Canyon Ave
North Hollywood, CA 91606-2911

Phone

(818) 763-4814

Fax

(818) 763-1362

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Akaki Karitchashvili

Title

President

Phone

(818) 763-4841

Specialties & licenses 1

Addresses

Other names 1

• VICTORY CARE MEDICAL SUPPLY Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1295847598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6342 COLWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062911",
            "telephone_number": "818-763-4814",
            "fax_number": "818-763-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6342 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916062911",
            "telephone_number": "818-763-4814",
            "fax_number": "818-763-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY CARE MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "KARITCHASHVILI",
        "authorized_official_first_name": "AKAKI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-763-4841"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0000779083-0001-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VICTORY CARE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.