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Avetis Avetisyan
Durable Medical Equipment & Medical Supplies in South San Francisco, California
NPI 1114077328

Avetis Avetisyan is a Durable Medical Equipment & Medical Supplies based in South San Francisco, CA. Avetis Avetisyan practices in South San Francisco, CA. The NPI Number for Avetis Avetisyan is 1114077328 and holds a License No. 102525 (California).

The current practice location address for Avetis Avetisyan is 1133 El Camino Real Ste 7, South San Francisco, CA and can be reached out via phone at 650-872-7002 and via fax at 650-872-0441.

Location: 1133 El Camino Real Ste 7, South San Francisco, CA, 94080-3288
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114077328
Provider Name
Avetis Avetisyan
Credential
Provider Entity Type
Organization
Address
1133 El Camino Real Ste 7, South San Francisco, CA, 94080-3288
Phone Number
650-872-7002
Fax Number
650-872-0441
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
620-18-6957 01 CA OWNERS SS #
B6972866 01 CA OWNERS DRIVER LINCES #
DME03047F 05 CA
institution
Provider Business Practice Location Address Details
Address
1133 El Camino Real Ste 7
City
South San Francisco
State
California
Zip
94080-3288
Phone Number
650-872-7002
Fax Number
650-872-0441
person
Provider Business Mailing Address Details
Address
1133 El Camino Real Ste 7
City
South San Francisco
State
California
Zip
94080-3288
Phone Number
650-872-7002
Fax Number
650-872-0441
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
102525 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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