Provider Demographics
NPI:1740477983
Name:ARLETA MEDICAL EQUIPMENT, INC.
Entity type:Organization
Organization Name:ARLETA MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAGOYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-890-2400
Mailing Address - Street 1:14015 VAN NUYS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:ARLETA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-4518
Mailing Address - Country:US
Mailing Address - Phone:818-890-2400
Mailing Address - Fax:818-890-0900
Practice Address - Street 1:14015 VAN NUYS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:ARLETA
Practice Address - State:CA
Practice Address - Zip Code:91331-4518
Practice Address - Country:US
Practice Address - Phone:818-890-2400
Practice Address - Fax:818-890-0900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6072580001Medicare NSC