Provider Demographics
NPI:1831389782
Name:WEST VALLEY MEDICAL SUPPLY INC
Entity type:Organization
Organization Name:WEST VALLEY MEDICAL SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEROB
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPAZYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-997-9018
Mailing Address - Street 1:14350 OXNARD ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91401-3311
Mailing Address - Country:US
Mailing Address - Phone:818-997-9018
Mailing Address - Fax:818-997-9011
Practice Address - Street 1:14350 OXNARD ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-3311
Practice Address - Country:US
Practice Address - Phone:818-997-9018
Practice Address - Fax:818-997-9011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
5981410001Medicare NSC