Harrison M Iriafen

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

HARRISON M IRIAFEN

Practice address

14640 Victory Blvd
Suite 205
Van Nuys, CA 91411-1623

Phone

(818) 785-3584

Fax

(818) 785-7910

NPI assigned

Nov 13, 2007

Organization subpart

No

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

Authorized official

Name

Harrison M Iriafen

Title

Owner

Phone

(818) 785-3584

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GOOD SHEPARD MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1508046004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD",
            "address_2": "SUITE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-785-3584",
            "fax_number": "818-785-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14640 VICTORY BLVD",
            "address_2": "SUITE 205",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111623",
            "telephone_number": "818-785-3584",
            "fax_number": "818-785-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON M IRIAFEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "IRIAFEN",
        "authorized_official_first_name": "HARRISON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-785-3584"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03397F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOOD SHEPARD MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Harper, RN
• Emily R Harrington
• Charles Harris, CATC III
• Curtis Harris
• Helaine Z. Harris, MFT
• Julianne Marie Harrison, DO
• Hart Hospice
• Ilona Hartvig, NP
• Alex Harutiunian
• Ara William Harutunian I, CATC 1

• Durable Medical Equipment & Medical Supplies in Van Nuys, CA
• Providers in Van Nuys, 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 17, 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.