Angels Paradise Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45421 Issued in CA

Legal business name

ANGELS PARADISE MEDICAL SUPPLY

Practice address

8774 Sepulveda Blvd
Suite 4
North Hills, CA 91343-5158

Phone

(818) 891-8078

Fax

(818) 891-5525

NPI assigned

Jul 19, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Olusegun Josiah Awoyomi-Sewell, N/A

Title

Owner/Director of Operations

Phone

(818) 891-8078

Specialties & licenses 1

Addresses

Other names 1

• ANGELS PARADISE MEDICAL SUPPLY Doing business as

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1477572113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8774 SEPULVEDA BLVD",
            "address_2": "SUITE 4",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435158",
            "telephone_number": "818-891-8078",
            "fax_number": "818-891-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8774 SEPULVEDA BLVD",
            "address_2": "SUITE 4",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435158",
            "telephone_number": "818-891-8078",
            "fax_number": "818-891-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELS PARADISE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "AWOYOMI-SEWELL",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_middle_name": "JOSIAH",
        "authorized_official_title_or_position": "OWNER/DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "818-891-8078",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELS PARADISE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in North Hills, CA
• Providers in North Hills, 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 6, 2007; 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.