Allied Med Wholesale

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

WLS54594 Issued in CA

Legal business name

ALLIED MED WHOLESALE

Practice address

8909 W Olympic Blvd
#208
Beverly Hills, CA 90211-3551

Phone

(310) 855-0475

Fax

(310) 855-0477

NPI assigned

Mar 7, 2007

Last updated

Aug 22, 2020By 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

Mr. Jack Amin

Title

President

Phone

(310) 855-0475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326179979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8909 W OLYMPIC BLVD",
            "address_2": "#208",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113551",
            "telephone_number": "310-855-0475",
            "fax_number": "310-855-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8909 W OLYMPIC BLVD",
            "address_2": "#208",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113551",
            "telephone_number": "310-855-0475",
            "fax_number": "310-855-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MED WHOLESALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-855-0475",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "WLS54594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-Pharmacy Dispensing Site in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.