Provider Demographics
NPI:1710176573
Name:VICTOR CIUMACOV
Entity Type:Organization
Organization Name:VICTOR CIUMACOV
Other - Org Name:A TO Z MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:CIUMACOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-367-1010
Mailing Address - Street 1:12309 15TH AVE NE STE C
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4864
Mailing Address - Country:US
Mailing Address - Phone:206-367-1010
Mailing Address - Fax:206-367-1002
Practice Address - Street 1:12309 15TH AVE NE STE C
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4864
Practice Address - Country:US
Practice Address - Phone:206-367-1010
Practice Address - Fax:206-367-1002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-17
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
6061440001Medicare NSC