Las Pride Medical Supply Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

101961 Issued in CA

Legal business name

LAS PRIDE MEDICAL SUPPLY CORP

Practice address

20508 Sherman Way
Suite a
Winnetka, CA 91306-3428

Phone

(818) 704-9974

Fax

(818) 704-9954

NPI assigned

Nov 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anait Nalbandyan

Title

Owner President

Phone

(818) 704-9974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1124199070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20508 SHERMAN WAY",
            "address_2": "SUITE A",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063428",
            "telephone_number": "818-704-9974",
            "fax_number": "818-704-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 SHERMAN WAY",
            "address_2": "SUITE A",
            "city": "WINNETKA",
            "state": "CA",
            "postal_code": "913063428",
            "telephone_number": "818-704-9974",
            "fax_number": "818-704-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS PRIDE MEDICAL SUPPLY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "NALBANDYAN",
        "authorized_official_first_name": "ANAIT",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "818-704-9974",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Winnetka, CA
• Providers in Winnetka, 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 May 22, 2008; 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.