Provider Demographics
NPI:1013145374
Name:GUARDIAN MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:GUARDIAN MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KHACHATOURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-237-3500
Mailing Address - Street 1:703 N FULTON ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93728-3405
Mailing Address - Country:US
Mailing Address - Phone:559-237-3500
Mailing Address - Fax:559-237-3535
Practice Address - Street 1:703 N FULTON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-3405
Practice Address - Country:US
Practice Address - Phone:559-237-3500
Practice Address - Fax:559-237-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-25
Last Update Date:2009-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies