A.K. Direct Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

51396 Issued in CA

Legal business name

A.K. DIRECT MEDICAL SUPPLIES

Practice address

14121 S Western Ave
Gardena, CA 90249-3009

Phone

(310) 329-1426

Fax

(323) 325-3557

NPI assigned

Jun 23, 2009

Last updated

Oct 2, 2009By 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. Alonzo Dobson

Title

Secretary/Treasurer

Phone

(310) 329-1426

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1396973871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14121 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493009",
            "telephone_number": "310-329-1426",
            "fax_number": "323-325-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14121 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493009",
            "telephone_number": "310-329-1426",
            "fax_number": "323-325-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.K. DIRECT MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "DOBSON",
        "authorized_official_first_name": "ALONZO",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "310-329-1426",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "51396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA HMDR",
            "identifier": "51396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Gardena, CA
• Providers in Gardena, 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 Oct 2, 2009; 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.