Provider Demographics
NPI:1245258615
Name:A TO Z HEALTHCARE SUPPLY INC
Entity type:Organization
Organization Name:A TO Z HEALTHCARE SUPPLY INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYOUDMILA
Authorized Official - Middle Name:
Authorized Official - Last Name:TER GRIGORYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-296-3800
Mailing Address - Street 1:2457E WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91104-2041
Mailing Address - Country:US
Mailing Address - Phone:626-351-0726
Mailing Address - Fax:
Practice Address - Street 1:2457 E WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91104-2041
Practice Address - Country:US
Practice Address - Phone:626-351-0726
Practice Address - Fax:626-296-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA331L00000X, 332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No331L00000XSuppliersBlood Bank
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5543090001Medicare NSC