Organization · Type 2 NPI

Avetis Avetisyan

Durable Medical Equipment & Medical Supplies · South San Francisco, CA

NPI number 1114077328 Active

Practice location

1133 El Camino Real Ste 7
South San Francisco, CA 94080-3288

Fax (650) 872-0441

Mailing address

1133 El Camino Real, Suite 7
South San Francisco, CA 94080-3288

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X102525 (CA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1114077328

Avetis Avetisyan's National Provider Identifier is 1114077328, issued on Jan 11, 2007. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in South San Francisco, CA. The record was last updated on Feb 5, 2009.