Ovik Avetisyan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OVIK AVETISYAN

Doing business as

AEG Medical Supply

Practice address

5068 Hollywood Blvd
Los Angeles, CA 90027-6110

Phone

(323) 666-9410

Fax

(323) 666-9462

NPI assigned

Jul 19, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ovik AvetisyanNPI 1407701006

Title

Owner

Phone

(323) 666-9410

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• AEG Medical Supply Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ovik Avetisyan

  • Oxygen Equipment & Supplies (DME)
  • Los Angeles, CA
  • NPI 1407701006
  NPD (past) Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1467471342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5068 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276110",
            "telephone_number": "323-666-9410",
            "fax_number": "323-666-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5068 HOLLYWOOD BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900276110",
            "telephone_number": "323-666-9410",
            "fax_number": "323-666-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OVIK AVETISYAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "AVETISYAN",
        "authorized_official_first_name": "OVIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-666-9410",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "101092",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUREAU OF HOME FURNISHER",
            "identifier": "130157",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1260050001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "DME02547F",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AEG Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Makayla Overstreet
• Sele Overstreet
• Daniel Overton
• Jan Alison Overton
• Mark Overton
• Haik Ovsepyan, PHARMD
• Jacqueline Ovsepyan
• Mark Ovsiowitz, MD
• Alice Michelle Ovsipyan
• Carol Ow

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 18, 2008; 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.