Provider Demographics
NPI:1023277423
Name:G&R HEALTH CARE INC
Entity type:Organization
Organization Name:G&R HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GAGIK
Authorized Official - Middle Name:
Authorized Official - Last Name:MKHITAKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-344-7408
Mailing Address - Street 1:5005 YORK BL
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90042
Mailing Address - Country:US
Mailing Address - Phone:323-344-7408
Mailing Address - Fax:323-344-8076
Practice Address - Street 1:5005 YORK BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90042-1713
Practice Address - Country:US
Practice Address - Phone:323-344-7408
Practice Address - Fax:323-344-8076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-02
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0002344314-0001-5332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6200210001Medicare NSC