Provider Demographics
NPI:1760624225
Name:LA HEALTH SUPPLIES INC.
Entity Type:Organization
Organization Name:LA HEALTH SUPPLIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NORIK
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGDASARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:8183-674-7177
Mailing Address - Street 1:12431 SAN FERNANDO RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-5080
Mailing Address - Country:US
Mailing Address - Phone:818-364-7177
Mailing Address - Fax:818-364-7477
Practice Address - Street 1:12431 SAN FERNANDO RD
Practice Address - Street 2:SUITE B
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-5080
Practice Address - Country:US
Practice Address - Phone:818-364-7177
Practice Address - Fax:818-364-7477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-30
Last Update Date:2009-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000240586100018332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies