Millennium Medical Products Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

43580 Issued in CA

Legal business name

MILLENNIUM MEDICAL PRODUCTS INC

Practice address

2300 W Victory Blvd
Burbank, CA 91506-1256

Phone

(818) 840-8061

Fax

(818) 840-8062

NPI assigned

Jun 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vardan None Gilavian, OWNER

Title

President

Phone

(818) 840-8061

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770510869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 W.VICTORY BL ST.B",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91506",
            "telephone_number": "818-840-8061",
            "fax_number": "818-840-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W VICTORY BLVD",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915061256",
            "telephone_number": "818-840-8061",
            "fax_number": "818-840-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILLENNIUM MEDICAL PRODUCTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GILAVIAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_middle_name": "NONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-840-8061",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.