Colonial Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0002058308-0001-9 Issued in CA

Legal business name

COLONIAL MEDICAL SUPPLY

Practice address

6819 Sepulveda BL
Suite 101
Van Nuys, CA 91405-6528

Phone

(818) 997-0344

Fax

(818) 997-0385

NPI assigned

Jul 5, 2006

Last updated

Jan 9, 2017By 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

Mr. Arman Gambaryan

Title

President/Ceo

Phone

(818) 997-0344

Specialties & licenses 1

Addresses

Other names 1

• COLONIAL MEDICAL SUPPLY Other name

Locations

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1881625556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6819 SEPULVEDA BL",
            "address_2": "SUITE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056528",
            "telephone_number": "818-997-0344",
            "fax_number": "818-997-0385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6819 SEPULVEDA BL",
            "address_2": "SUITE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914056528",
            "telephone_number": "818-997-0344",
            "fax_number": "818-997-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "GAMBARYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "818-997-0344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0002058308-0001-9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLONIAL MEDICAL SUPPLY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Leonides Ivellisse Collazo
• Blair Collins-Rivera
• Megan Marie Collison
• Andres Colmenares, AMFT
• Amanda Colon, DPT
• Jason Andrew Colvin, RPH
• Comfort Care HHA Inc.
• Comfort Choice Hospice, Inc.
• Comfort Days Hospice
• Comfort Keepers Board and Care Inc.

• 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 Jan 9, 2017; 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.