Direct Medical Supplies

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

103043 Issued in CA

Legal business name

DIRECT MEDICAL SUPPLIES

Practice address

13615 Victory Blvd Ste 111
Van Nuys, CA 91401-1770

Phone

(818) 902-0665

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sheila Harry

Title

Director

Phone

(818) 902-0665

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437369014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 111",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011770",
            "telephone_number": "818-902-0665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13615 VICTORY BLVD STE 111",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011770",
            "telephone_number": "818-902-0665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRY",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-902-0665",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "103043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Prosthetic/Orthotic Supplier 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.