3 Med Supply Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

3 MED SUPPLY INC

Practice address

21414 Chase St Ste 2
Canoga Park, CA 91304-2658

Phone

(424) 302-3633

Fax

(818) 337-0384

NPI assigned

Mar 21, 2021

Organization subpart

No

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

Authorized official

Name

Mohsen Baladehei

Title

Ceo

Phone

(424) 302-3633

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1616284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674345600000",
    "number": "1629654652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21414 CHASE ST STE 2",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042658",
            "telephone_number": "424-302-3633",
            "fax_number": "818-337-0384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21414 CHASE ST STE 2",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913042658",
            "telephone_number": "424-302-3633",
            "fax_number": "818-337-0384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 MED SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-21",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A",
        "authorized_official_last_name": "BALADEHEI",
        "authorized_official_first_name": "MOHSEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-302-3633"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WWW.3MEDSUPPLIES.COM",
            "affiliation": "N",
            "address_1": "21414 Chase St Ste 2",
            "city": "Canoga Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913042658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Customized Equipment (DME) in Canoga Park, CA
• Providers in Canoga Park, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2023; 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.