Provider Demographics
NPI:1346355047
Name:NEW CENTURY MEDICAL SUPPLY INC
Entity Type:Organization
Organization Name:NEW CENTURY MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARNIK
Authorized Official - Middle Name:
Authorized Official - Last Name:YESAIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-951-0580
Mailing Address - Street 1:7728 FOOTHILL BLVD
Mailing Address - Street 2:UNIT # B
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2121
Mailing Address - Country:US
Mailing Address - Phone:818-951-0580
Mailing Address - Fax:818-951-0601
Practice Address - Street 1:7728 FOOTHILL BLVD
Practice Address - Street 2:UNIT # B
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2121
Practice Address - Country:US
Practice Address - Phone:818-951-0580
Practice Address - Fax:818-951-0601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies