Provider Demographics
NPI:1467617555
Name:ALPHA MEDICAL SUPPLY
Entity Type:Organization
Organization Name:ALPHA MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARMAN
Authorized Official - Middle Name:YURIK
Authorized Official - Last Name:SARKISSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-963-6000
Mailing Address - Street 1:10810 WARNER AVE
Mailing Address - Street 2:STE 9
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3848
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10810 WARNER AVE
Practice Address - Street 2:STE 9
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-3848
Practice Address - Country:US
Practice Address - Phone:714-963-6000
Practice Address - Fax:714-963-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-28
Last Update Date:2008-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3788360001Medicare NSC