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Shoushan Gukasyan
Prosthetic/Orthotic Supplier in North Hollywood, California
NPI 1548355365

Shoushan Gukasyan is a Prosthetic/Orthotic Supplier based in Glendale, CA. Shoushan Gukasyan practices in North Hollywood, CA. The NPI Number for Shoushan Gukasyan is 1548355365 and holds a License No. 102722 (California).

The current practice location address for Shoushan Gukasyan is 8217 Lankershim Blvd Ste 29, North Hollywood, CA and can be reached out via phone at 818-767-7003 and via fax at 818-767-1781.

Location: 8217 Lankershim Blvd Ste 29, North Hollywood, CA, 91202-2638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1548355365
Provider Name
Shoushan Gukasyan
Credential
Provider Entity Type
Organization
Address
8217 Lankershim Blvd Ste 29, North Hollywood, CA, 91202-2638
Phone Number
818-767-7003
Fax Number
818-767-1781
Provider Enumeration Date
10/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DME03085F 05 CA
institution
Provider Business Practice Location Address Details
Address
8217 Lankershim Blvd Ste 29
City
North Hollywood
State
California
Zip
91605-0937
Phone Number
818-767-7003
Fax Number
818-767-1781
person
Provider Business Mailing Address Details
Address
8217 Lankershim Blvd Ste 29
City
North Hollywood
State
California
Zip
91605-0937
Phone Number
818-767-7003
Fax Number
818-767-1781
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
R16755 (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Oxygen Equipment & Supplies
Taxonomy
332BX2000X
License No.
16831 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
102722 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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