Provider Demographics
NPI:1326212762
Name:BLUE SEAS TRAVEL LLC
Entity Type:Organization
Organization Name:BLUE SEAS TRAVEL LLC
Other - Org Name:MONTROSE MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOUJOUMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-378-6110
Mailing Address - Street 1:2532 HONOLULU AVE
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1806
Mailing Address - Country:US
Mailing Address - Phone:818-542-3023
Mailing Address - Fax:818-542-3028
Practice Address - Street 1:2534 HONOLULU AVE
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1806
Practice Address - Country:US
Practice Address - Phone:818-542-3023
Practice Address - Fax:818-542-3028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies