Provider Demographics
NPI:1346276615
Name:WALNUT MEDICAL EQUIPTMENT, INC.
Entity Type:Organization
Organization Name:WALNUT MEDICAL EQUIPTMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GURGEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BATIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-792-0088
Mailing Address - Street 1:1378 E WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-1528
Mailing Address - Country:US
Mailing Address - Phone:626-792-0088
Mailing Address - Fax:
Practice Address - Street 1:1378 E WALNUT ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-1528
Practice Address - Country:US
Practice Address - Phone:626-792-0088
Practice Address - Fax:626-792-0064
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5555780001Medicare NSC