KNC Medical Supply, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

DME03143G Issued in CA

Legal business name

KNC MEDICAL SUPPLY, INC

Practice address

3931 W Slauson Ave
Los Angeles, CA 90043-2976

Phone

(323) 299-0837

NPI assigned

Jul 7, 2006

Last updated

Oct 26, 2021By 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

Mr. Okey Okafor, N/A

Title

Managing Director

Phone

(323) 299-0837

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1578595641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 S MULLEN AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431718",
            "telephone_number": "323-299-0837",
            "fax_number": "323-299-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3931 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900432976",
            "telephone_number": "323-299-0837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNC MEDICAL SUPPLY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "OKEY",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "323-299-0837",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "DME03143G",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "DME03143G",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "DME03143G",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03143G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke A Knapp, CRNA
• Christine M Knapp, LMT
• Farideh Taghilou Knapp, DDS
• Herschel Knapp, PH.D., M.S.S.W.
• Aureen Knauls, LCSW
• KND Development 59 LLC
• Kneading Nomad LLC
• Knebel Medical Group Inc
• Carsyn Knebel
• Richard Allan Knecht III

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 26, 2021; 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.