Provider Demographics
NPI:1659428084
Name:ECHMED MEDICAL SUPPLY INC.,
Entity Type:Organization
Organization Name:ECHMED MEDICAL SUPPLY INC.,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YURIK
Authorized Official - Middle Name:
Authorized Official - Last Name:SARKISSYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-666-8932
Mailing Address - Street 1:101 N VICTORY BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1847
Mailing Address - Country:US
Mailing Address - Phone:323-666-8932
Mailing Address - Fax:323-666-0755
Practice Address - Street 1:101 N VICTORY BLVD STE B
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1847
Practice Address - Country:US
Practice Address - Phone:323-666-8932
Practice Address - Fax:323-666-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02130GMedicaid
CADME02130GMedicaid