Alliance Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ALLIANCE MEDICAL SUPPLY

Practice address

12601 San Fernando Rd
Suite F
Sylmar, CA 91342-7733

Phone

(818) 833-7000

Fax

(818) 514-2447

NPI assigned

Jul 27, 2012

Last updated

Sep 17, 2015By 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

Kenneth Brodhagen

Title

President

Phone

(714) 348-6759

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1386990364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD",
            "address_2": "SUITE F",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733",
            "telephone_number": "818-833-7000",
            "fax_number": "818-514-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD",
            "address_2": "SUITE F",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733",
            "telephone_number": "818-833-7000",
            "fax_number": "818-514-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-27",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "BRODHAGEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-348-6759"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Sylmar, CA
• Providers in Sylmar, 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 Sep 17, 2015; 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.