Provider Demographics
NPI:1689409575
Name:CASPIAN MEDICAL SUPPLY HEALTH CARE
Entity type:Organization
Organization Name:CASPIAN MEDICAL SUPPLY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SIYAVASH
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIAE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-323-7378
Mailing Address - Street 1:20335 VENTURA BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-2463
Mailing Address - Country:US
Mailing Address - Phone:747-230-4217
Mailing Address - Fax:747-230-4189
Practice Address - Street 1:20335 VENTURA BLVD STE 105
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-2463
Practice Address - Country:US
Practice Address - Phone:747-230-4217
Practice Address - Fax:747-230-4189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-03
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies