Ladera Medical Supply,Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

LADERA MEDICAL SUPPLY,INC

Practice address

4720 W Slauson Ave
Los Angeles, CA 90056-1206

Phone

(323) 299-8334

Fax

(323) 299-8384

NPI assigned

Aug 9, 2007

Last updated

Apr 28, 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

Asia L Fowler

Title

President

Phone

(323) 299-8334

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1639361009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561206",
            "telephone_number": "323-299-8334",
            "fax_number": "323-299-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 W SLAUSON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561206",
            "telephone_number": "323-299-8334",
            "fax_number": "323-299-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA MEDICAL SUPPLY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ASIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-299-8334"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laddaran Medical Group
• Benito P Laddaran, M.D.
• Leslie T. Laddaran, DDS
• Lori Alexis Laddaran
• Ladera Medical Practice Inc
• Jodi R Ladge, PA-C
• Seyedeh Sanam Ladi Seyedian, MD
• Valour Ladomi
• Amos Kelly Ladouceur, M.D.
• Dominique Elsie Ladouceur

• 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 Apr 28, 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.