Provider Demographics
NPI:1669545109
Name:EXPRESS MEDICAL PRODUCTS INC
Entity type:Organization
Organization Name:EXPRESS MEDICAL PRODUCTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AROUTIOUN
Authorized Official - Middle Name:
Authorized Official - Last Name:KECHICHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-390-1461
Mailing Address - Street 1:2501 COLORADO BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1055
Mailing Address - Country:US
Mailing Address - Phone:323-340-1461
Mailing Address - Fax:323-340-8071
Practice Address - Street 1:2501 COLORADO BLVD STE B
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90041-1055
Practice Address - Country:US
Practice Address - Phone:323-340-1461
Practice Address - Fax:323-340-8071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5579390001Medicare ID - Type Unspecified