Advance Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102074190 Issued in CA

Legal business name

ADVANCE MEDICAL SUPPLY

Practice address

441 E Whittier Blvd
Suite a
La Habra, CA 90631-3982

Phone

(562) 846-4842

Fax

(562) 846-4829

NPI assigned

Jan 5, 2012

Last updated

Apr 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis Ricardo Magana

Title

Owner/Partner

Phone

(562) 846-4842

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberto Gomez

  • Durable Medical Equipment & Medical Supplies
  • La Habra, CA
  • NPI 1093002180
  NPD (past)

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1205106309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 E WHITTIER BLVD",
            "address_2": "SUITE A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313982",
            "telephone_number": "562-846-4842",
            "fax_number": "562-846-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 E WHITTIER BLVD",
            "address_2": "SUITE A",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906313982",
            "telephone_number": "562-846-4842",
            "fax_number": "562-846-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "MAGANA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "RICARDO",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "562-846-4842"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102074190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in La Habra, CA
• Providers in La Habra, 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 Apr 20, 2012; 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.