Patient Care Med Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PATIENT CARE MED SUPPLIES LLC

Practice address

3945 W Slauson Ave Ste a
Los Angeles, CA 90043-2976

Phone

(310) 617-2375

NPI assigned

Jan 26, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Abdulmalik Kalifa

Title

President

Phone

(310) 617-2375

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1326790700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3945 W SLAUSON AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432976",
            "telephone_number": "310-617-2375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3945 W SLAUSON AVE STE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432976",
            "telephone_number": "310-617-2375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT CARE MED SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "KALIFA",
        "authorized_official_first_name": "ABDULMALIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-617-2375",
        "authorized_official_name_prefix": "Mr."
    },
    "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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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.