Provider Demographics
NPI:1518137736
Name:A&A CHINO HILLS MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:A&A CHINO HILLS MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDNT
Authorized Official - Prefix:
Authorized Official - First Name:SOKRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:ARZUMANYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-364-9888
Mailing Address - Street 1:12345 MOUNTAIN AVE
Mailing Address - Street 2:SUIT X
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-2783
Mailing Address - Country:US
Mailing Address - Phone:909-364-9888
Mailing Address - Fax:909-364-9988
Practice Address - Street 1:12345 MOUNTAIN AVE
Practice Address - Street 2:SUIT X
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-2783
Practice Address - Country:US
Practice Address - Phone:909-364-9888
Practice Address - Fax:909-364-9988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33387332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6133380001Medicare NSC