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Mr. Grigor Grigoryan
Durable Medical Equipment & Medical Supplies in Palmdale, California
NPI 1790965945

Grigor Grigoryan is a Durable Medical Equipment & Medical Supplies based in Palmdale, CA. Grigor Grigoryan practices in Palmdale, CA. The NPI Number for Grigor Grigoryan is 1790965945 and holds a License No. 20365 (California).

The current practice location address for Grigor Grigoryan is 2720 E Palmdale Blvd, Palmdale, CA and can be reached out via phone at 661-272-0004 and via fax at 661-272-0006.

Location: 2720 E Palmdale Blvd, Palmdale, CA, 93550-4930
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790965945
Provider Name
Grigor Grigoryan
Credential
Provider Entity Type
Individual
Gender
Male
Address
2720 E Palmdale Blvd, Palmdale, CA, 93550-4930
Phone Number
661-272-0004
Fax Number
661-272-0006
Provider Enumeration Date
11/05/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4987030001 01 CA MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
2720 E Palmdale Blvd
City
Palmdale
State
California
Zip
93550-4930
Phone Number
661-272-0004
Fax Number
661-272-0006
person
Provider Business Mailing Address Details
Address
2720 E Palmdale Blvd
City
Palmdale
State
California
Zip
93550-4930
Phone Number
661-272-0004
Fax Number
661-272-0006
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
20365 (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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