Provider Demographics
NPI:1003624024
Name:SOCAL MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:SOCAL MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GEVORK
Authorized Official - Middle Name:
Authorized Official - Last Name:ARABYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-247-7724
Mailing Address - Street 1:12038 BURBANK BLVD
Mailing Address - Street 2:
Mailing Address - City:VALLEY VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91607-1811
Mailing Address - Country:US
Mailing Address - Phone:747-247-7724
Mailing Address - Fax:
Practice Address - Street 1:12038 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:VALLEY VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91607-1811
Practice Address - Country:US
Practice Address - Phone:747-247-7724
Practice Address - Fax:747-247-7712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies