Edc Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103794 Issued in CA

Legal business name

EDC MEDICAL SUPPLY INC.

Practice address

355 E Avenida de Los Arboles
Suite B
Thousand Oaks, CA 91360-2973

Phone

(805) 492-4884

Fax

(805) 492-4877

NPI assigned

May 20, 2006

Last updated

Mar 26, 2008By 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

Edward Bode Ademisoye

Title

President

Phone

(805) 492-4884

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1477507671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE B",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602973",
            "telephone_number": "805-492-4884",
            "fax_number": "805-492-4877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E AVENIDA DE LOS ARBOLES",
            "address_2": "SUITE B",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602973",
            "telephone_number": "805-492-4884",
            "fax_number": "805-492-4877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDC MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "ADEMISOYE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "BODE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-492-4884"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Thousand Oaks, CA
• Providers in Thousand Oaks, 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 Mar 26, 2008; 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.