Anderson Wellness Supplies and Services, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ANDERSON WELLNESS SUPPLIES AND SERVICES, LLC

Practice address

777 S Alameda St FL 2
Los Angeles, CA 90021-1657

Phone

(310) 650-0337

NPI assigned

Jun 18, 2019

Organization subpart

No

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

Authorized official

Name

Avron Anstey

Title

Coo

Phone

(310) 650-0337

Specialties & licenses 1

Addresses

Other names 1

• Anderson Wellness Doing business as

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1336709781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S ALAMEDA ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211657",
            "telephone_number": "310-650-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S ALAMEDA ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900211657",
            "telephone_number": "310-650-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON WELLNESS SUPPLIES AND SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "ANSTEY",
        "authorized_official_first_name": "AVRON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "310-650-0337"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anderson Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ray Anders, PSY PHD
• Heidi Lynne Anders, PT, DPT
• Michelle Anders
• Gretchen Jane Andersen, PA.- C
• Tyler Andersen
• Yasmeen Alexanderia Anderson-Cannon, LVN
• Karen Anderson-Curtin, DDS
• John Leo Anderson-Dam, M.D.
• Julian Anderson-Gomez
• Chasen Michael Anderson-Shaw

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 18, 2019; 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.