Organization Active NPI

Eleven Medical Supplies LLC

  • Durable Medical Equipment & Medical Supplies
  • Anaheim, CA
National Provider Identifier
1255237509
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ELEVEN MEDICAL SUPPLIES LLC
Practice address
2520 E Park LN Apt 204
Anaheim, CA 92806-1637
Phone
(432) 243-4111
NPI assigned
Oct 14, 2026
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Ezdani Khan
Title
Ceo
Phone
(432) 243-4111

Specialties & licenses 1

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

Addresses

Primary practice location

2520 E Park LN Apt 204
Anaheim, CA 92806-1637

Mailing address

2520 E Park LN Apt 204
Anaheim, CA 92806-1637

NPI Registry JSON

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

{
    "created_epoch": "1791936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1255237509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 E PARK LN APT 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 E PARK LN APT 204",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928061637",
            "telephone_number": "432-243-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVEN MEDICAL SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "EZDANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "432-243-4111"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.