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Anahit Grigoryan
Prosthetic/Orthotic Supplier in Los Angeles, California
NPI 1629080700

Anahit Grigoryan is a Prosthetic/Orthotic Supplier based in Los Angeles, CA. Anahit Grigoryan practices in Los Angeles, CA. The NPI Number for Anahit Grigoryan is 1629080700 and holds a License No. 101183 (California).

The current practice location address for Anahit Grigoryan is 4448 Eagle Rock Blvd Ste A, Los Angeles, CA and can be reached out via phone at 323-257-5535 and via fax at 323-257-5396.

Location: 4448 Eagle Rock Blvd Ste A, Los Angeles, CA, 90041-3512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629080700
Provider Name
Anahit Grigoryan
Credential
Provider Entity Type
Organization
Address
4448 Eagle Rock Blvd Ste A, Los Angeles, CA, 90041-3512
Phone Number
323-257-5535
Fax Number
323-257-5396
Provider Enumeration Date
08/13/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DME02836F 05 CA
institution
Provider Business Practice Location Address Details
Address
4448 Eagle Rock Blvd Ste A
City
Los Angeles
State
California
Zip
90041-3512
Phone Number
323-257-5535
Fax Number
323-257-5396
person
Provider Business Mailing Address Details
Address
4448 Eagle Rock Blvd Ste A
City
Los Angeles
State
California
Zip
90041-3512
Phone Number
323-257-5535
Fax Number
323-257-5396
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
18131 (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
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
101183 (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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