Luna Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LUNA MEDICAL SUPPLY

Practice address

12218 Victory Blvd
North Hollywood, CA 91606-3207

Phone

(818) 623-8880

Fax

(818) 623-8881

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Hratch Derghazarian

Title

President/Sole Owner

Phone

(818) 623-8880

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326158221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12218 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063207",
            "telephone_number": "818-623-8880",
            "fax_number": "818-623-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 VICTORY BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063207",
            "telephone_number": "818-623-8880",
            "fax_number": "818-623-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DERGHAZARIAN",
        "authorized_official_first_name": "HRATCH",
        "authorized_official_title_or_position": "PRESIDENT/SOLE OWNER",
        "authorized_official_telephone_number": "818-623-8880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Nga Lu, O.D.
• Judy Lucks, CATC
• Lugo-Colon & Tovanyan Medical Group Inc
• Lumary Therapy
• Luna Home Care Inc
• Melissa Luna
• Kenyon S Luo, MD
• Xiaoqi Luo, L.AC., DIPL. O.M.
• Luster Medical Supply, Inc
• Leigh Lustig, PSYD

• 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 Aug 22, 2020; 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.