Anaheim Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ANAHEIM MEDICAL SUPPLY INC.

Practice address

1256 N Euclid St
Anaheim, CA 92801-1928

Phone

(714) 999-6710

Fax

(714) 999-6712

NPI assigned

Jun 13, 2008

Organization subpart

No

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

Authorized official

Name

Myrna C. Iballa

Title

Secretary

Phone

(714) 999-6710

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1306006259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1256 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011928",
            "telephone_number": "714-999-6710",
            "fax_number": "714-999-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1256 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011928",
            "telephone_number": "714-999-6710",
            "fax_number": "714-999-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANAHEIM MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "IBALLA",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "714-999-6710"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Anaheim, CA
• Providers in Anaheim, 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 Jun 13, 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.