Erico Medical Equipment Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

1840301 Issued in CA

Legal business name

ERICO MEDICAL EQUIPMENT INC.

Practice address

1706 Erringer Rd
Suite 4
Simi Valley, CA 93065-6500

Phone

(805) 520-5823

Fax

(805) 520-5832

NPI assigned

Aug 6, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Konstantin Timofeev

Title

Ceo/President

Phone

(805) 520-5823

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1281052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1437464070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 ERRINGER RD",
            "address_2": "SUITE 4",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656500",
            "telephone_number": "805-520-5823",
            "fax_number": "805-520-5832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 ERRINGER RD",
            "address_2": "SUITE 4",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930656500",
            "telephone_number": "805-520-5823",
            "fax_number": "805-520-5832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICO MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-06",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "TIMOFEEV",
        "authorized_official_first_name": "KONSTANTIN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "805-520-5823",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "1840301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Simi Valley, CA
• Providers in Simi Valley, 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 Nov 15, 2010; 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.