Provider Demographics
NPI:1831392471
Name:PRECISE COMFORT
Entity type:Organization
Organization Name:PRECISE COMFORT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VARTAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FNDRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:CDME
Authorized Official - Phone:626-808-0176
Mailing Address - Street 1:2235 LAKE AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-2465
Mailing Address - Country:US
Mailing Address - Phone:626-808-0176
Mailing Address - Fax:626-808-0179
Practice Address - Street 1:2235 LAKE AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:ALTADENA
Practice Address - State:CA
Practice Address - Zip Code:91001-6001
Practice Address - Country:US
Practice Address - Phone:626-808-0176
Practice Address - Fax:626-808-0179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20812332BD1200X, 332BP3500X, 332BX2000X
332BN1400X
CA52879332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA52879OtherCA HMDR LICENSE
CA20812OtherCA HMDR EXEMPTEE LICENSE
463750OtherTHE JOINT COMMISSION (JACHO)