Citrine Medical Equipment Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

CITRINE MEDICAL EQUIPMENT INC

Practice address

14103 Victory Blvd Ste 13
Van Nuys, CA 91401-1998

Phone

(818) 388-0449

NPI assigned

Sep 8, 2021

Organization subpart

No

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

Authorized official

Name

Ashot Shaumyan, DMV

Title

Presdident

Phone

(818) 319-3478

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1871262352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14103 VICTORY BLVD STE 13",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011998",
            "telephone_number": "818-510-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14103 VICTORY BLVD STE 13",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011998",
            "telephone_number": "818-388-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITRINE MEDICAL EQUIPMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A",
        "authorized_official_last_name": "SHAUMYAN",
        "authorized_official_first_name": "ASHOT",
        "authorized_official_title_or_position": "PRESDIDENT",
        "authorized_official_telephone_number": "818-319-3478",
        "authorized_official_credential": "DMV"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Sep 8, 2021; 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.