Provider Demographics
NPI:1588797211
Name:GLOBAL MERIDIAN MANAGEMENT INC.
Entity Type:Organization
Organization Name:GLOBAL MERIDIAN MANAGEMENT INC.
Other - Org Name:ST RITA MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTAK
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGOSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-589-5065
Mailing Address - Street 1:7136 PACIFIC BLVD
Mailing Address - Street 2:STE 260
Mailing Address - City:HUNTINGTON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90255-4783
Mailing Address - Country:US
Mailing Address - Phone:323-589-5065
Mailing Address - Fax:323-589-6216
Practice Address - Street 1:7136 PACIFIC BLVD
Practice Address - Street 2:STE 260
Practice Address - City:HUNTINGTON PARK
Practice Address - State:CA
Practice Address - Zip Code:90255-4783
Practice Address - Country:US
Practice Address - Phone:323-589-5065
Practice Address - Fax:323-589-6216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4613750001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4613750001Medicare NSC