Provider Demographics
NPI:1104174838
Name:NORA'S MEDICAL SUPPLY
Entity type:Organization
Organization Name:NORA'S MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOVART
Authorized Official - Middle Name:
Authorized Official - Last Name:OGHAMIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-507-7070
Mailing Address - Street 1:1018 E. BROADWAY
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91205-1206
Mailing Address - Country:US
Mailing Address - Phone:818-507-7070
Mailing Address - Fax:818-507-6687
Practice Address - Street 1:1018 E. BROADWAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1206
Practice Address - Country:US
Practice Address - Phone:818-507-7070
Practice Address - Fax:818-507-6687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02284FMedicaid
CADME02284FMedicaid