Provider Demographics
NPI:1063712875
Name:PRIMEMED EQUIPMENTS INC
Entity type:Organization
Organization Name:PRIMEMED EQUIPMENTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBIK
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNGURDARIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-396-0260
Mailing Address - Street 1:1617 1/2 VICTORY BLVD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-3820
Mailing Address - Country:US
Mailing Address - Phone:818-396-0260
Mailing Address - Fax:818-396-0280
Practice Address - Street 1:1617 1/2 VICTORY BLVD
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-3820
Practice Address - Country:US
Practice Address - Phone:818-396-0260
Practice Address - Fax:818-396-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA3313650OtherSTATE CORP ID