Luster Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LUSTER MEDICAL SUPPLY, INC

Practice address

13136 Saticoy St Ste M
North Hollywood, CA 91605-3430

Phone

(818) 255-4944

Fax

(818) 255-4966

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By 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

Gevorg Minasyan

Title

President

Phone

(818) 255-4944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811100803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13136 SATICOY ST STE M",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053430",
            "telephone_number": "818-255-4944",
            "fax_number": "818-255-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13136 SATICOY ST STE M",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916053430",
            "telephone_number": "818-255-4944",
            "fax_number": "818-255-4966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUSTER MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MINASYAN",
        "authorized_official_first_name": "GEVORG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-255-4944"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "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.