Tana Medical Supplies, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46702 Issued in CA

Legal business name

TANA MEDICAL SUPPLIES, INC.

Practice address

1828 S Western Ave
Suite 7
Los Angeles, CA 90006-5808

Phone

(323) 734-7881

Fax

(323) 734-7882

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Fentahun B Ferede

Title

President

Phone

(323) 734-7881

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1093858086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 S WESTERN AVE",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065808",
            "telephone_number": "323-734-7881",
            "fax_number": "323-734-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 S WESTERN AVE",
            "address_2": "SUITE 7",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065808",
            "telephone_number": "323-734-7881",
            "fax_number": "323-734-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANA MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "FEREDE",
        "authorized_official_first_name": "FENTAHUN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-734-7881"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wanting Tan, PMHNP
• Winnie Tan, D.D.S.
• Winright Dominic Tan, OT
• Yi Wei Tan
• Zaldy S Tan, M.D.
• Ryoko Tanabe, NP
• Sachiko Tanabe
• Rodelia Tanael, REGISTERED NURSE
• Diane Kimiko Tanaka, MD
• Eryn Tanaka

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.