Provider Demographics
NPI:1457590622
Name:SUPPLYING YOUR HEALTH, INC
Entity Type:Organization
Organization Name:SUPPLYING YOUR HEALTH, INC
Other - Org Name:FOR YOUR HEALTH MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARKIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILINGARYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-489-3221
Mailing Address - Street 1:11477 VANOWEN ST
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-6221
Mailing Address - Country:US
Mailing Address - Phone:818-982-0506
Mailing Address - Fax:818-982-0560
Practice Address - Street 1:11477 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-6221
Practice Address - Country:US
Practice Address - Phone:818-982-0506
Practice Address - Fax:818-982-0560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-11
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6404690001Medicare NSC