Newport Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50773 Issued in CA

Legal business name

NEWPORT MEDICAL SUPPLY LLC

Practice address

3414 W Ball Rd Ste D
Anaheim, CA 92804-3726

Phone

(714) 328-3167

Fax

(714) 316-1321

NPI assigned

Feb 4, 2009

Organization subpart

No

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

Authorized official

Name

Sam U. Lee

Title

General Manager

Phone

(714) 328-3167

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1437398070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3338",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928343338",
            "telephone_number": "714-328-3167",
            "fax_number": "714-316-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 W BALL RD STE D",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043726",
            "telephone_number": "714-328-3167",
            "fax_number": "714-316-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-04",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SAM",
        "authorized_official_middle_name": "U.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "714-328-3167"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Anaheim, CA
• Providers in Anaheim, 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 Feb 4, 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.