Primo Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50981 Issued in CA

Legal business name

PRIMO MEDICAL SUPPLIES INC

Practice address

17337 Ventura Blvd
Suite 220
Encino, CA 91316-4039

Phone

(866) 224-5811

Fax

(818) 235-0103

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Faysal Bahnassi

Title

President

Phone

(818) 909-3790

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339632000000",
    "number": "1477796795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "SUITE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164039",
            "telephone_number": "866-224-5811",
            "fax_number": "818-235-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17337 VENTURA BLVD",
            "address_2": "SUITE 220",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164039",
            "telephone_number": "866-224-5811",
            "fax_number": "818-235-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMO MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2012-06-14",
        "status": "A",
        "authorized_official_last_name": "BAHNASSI",
        "authorized_official_first_name": "FAYSAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-909-3790"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pro Health Surgery Center
• Professional Care Hospice
• Promed Medical Supplies

• Durable Medical Equipment & Medical Supplies in Encino, CA
• Providers in Encino, 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 Jun 14, 2012; 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.