Covina Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

034557 Issued in CA

Legal business name

COVINA MEDICAL SUPPLY INC

Practice address

1449 N Hollenbeck Ave
Covina, CA 91722-1543

Phone

(626) 915-8000

Fax

(626) 915-8001

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Lusine Ebkaryan

Title

President

Phone

(626) 915-8000

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268697600000",
    "number": "1710124888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1449 N HOLLENBECK AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221543",
            "telephone_number": "626-915-8000",
            "fax_number": "626-915-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1449 N HOLLENBECK AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221543",
            "telephone_number": "626-915-8000",
            "fax_number": "626-915-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVINA MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2010-03-16",
        "status": "A",
        "authorized_official_last_name": "EBKARYAN",
        "authorized_official_first_name": "LUSINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-915-8000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "034557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Covina Emergency Medical Group, Inc.
• Covina Eyecare Optometry Inc
• Covina Eyecare Optometry Inc.
• Covina Healthcare Inc
• Covina Hearing Aid Center, Inc
• Covina Pharmacy Inc
• Covina Surgery Center, LLC
• Covina Surgery Center, LLC
• Covina-Valley Unified School District
• Angie Craig, RN

• Durable Medical Equipment & Medical Supplies in Covina, CA
• Providers in Covina, 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 Mar 16, 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.