Organization Active NPI

Davenport Products, LLC

  • Durable Medical Equipment & Medical Supplies
  • Playa del Rey, CA
National Provider Identifier
1093096570
Registry record updated Aug 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DAVENPORT PRODUCTS, LLC
Practice address
8405 Pershing Dr Ste 301
Playa del Rey
Playa del Rey, CA 90293-7861
Phone
(310) 383-6452
Fax
(310) 821-7300
NPI assigned
Aug 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Joyce Ann KhouryNPI 1619255114
Title
Sole Proprietor
Phone
(310) 383-6452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X CA Primary

Addresses

Primary practice location

8405 Pershing Dr Ste 301
Playa del Rey
Playa del Rey, CA 90293-7861

Mailing address

8405 Pershing Dr Ste 301
Playa del Rey
Playa del Rey, CA 90293-7861
Phone (310) 383-6452

National Provider Directory

National Provider Directory

Locations

8405 Pershing Dr
Ste 301
Playa del Rey, CA 90293
Phone (310) 383-6452

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314576000000",
    "number": "1093096570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 PERSHING DR STE 301",
            "address_2": "PLAYA DEL REY",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937861",
            "telephone_number": "310-383-6452",
            "fax_number": "310-821-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 PERSHING DR STE 301",
            "address_2": "PLAYA DEL REY",
            "city": "PLAYA DEL REY",
            "state": "CA",
            "postal_code": "902937861",
            "telephone_number": "310-383-6452",
            "fax_number": "310-821-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVENPORT PRODUCTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A",
        "authorized_official_last_name": "KHOURY",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "310-383-6452",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Playa del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.