Provider Demographics
NPI:1023664711
Name:UNITY MEDICAL SUPPLY
Entity type:Organization
Organization Name:UNITY MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABGAR
Authorized Official - Middle Name:
Authorized Official - Last Name:MUSAYELYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-427-9466
Mailing Address - Street 1:6842 VALMONT ST APT 6
Mailing Address - Street 2:
Mailing Address - City:TUJUNGA
Mailing Address - State:CA
Mailing Address - Zip Code:91042-2080
Mailing Address - Country:US
Mailing Address - Phone:866-401-4040
Mailing Address - Fax:
Practice Address - Street 1:6842 VALMONT ST APT 6
Practice Address - Street 2:
Practice Address - City:TUJUNGA
Practice Address - State:CA
Practice Address - Zip Code:91042-2080
Practice Address - Country:US
Practice Address - Phone:866-401-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-17
Last Update Date:2019-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies