Organization Active NPI

Magnolia Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Burbank, CA
National Provider Identifier
1689795668
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MAGNOLIA MEDICAL SUPPLY INC
Practice address
4406 W Magnolia Blvd
Burbank, CA 91505-2729
Phone
(818) 566-1900
Fax
(818) 566-1903
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Mr. Hrach Mirzoyan
Title
President
Phone
(818) 566-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

4406 W Magnolia Blvd
Burbank, CA 91505-2729

Mailing address

4406 W Magnolia Blvd
Burbank, CA 91505-2729
Phone (818) 566-1900

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1689795668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4406 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052729",
            "telephone_number": "818-566-1900",
            "fax_number": "818-566-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4406 W MAGNOLIA BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915052729",
            "telephone_number": "818-566-1900",
            "fax_number": "818-566-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "MIRZOYAN",
        "authorized_official_first_name": "HRACH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-566-1900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.