Maddison Medical Distributors Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MADDISON MEDICAL DISTRIBUTORS INC

Practice address

4283 W Broadway
Hawthorne, CA 90250-4545

Phone

(310) 978-8304

Fax

(310) 978-8394

NPI assigned

Jul 13, 2006

Organization subpart

No

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

Authorized official

Name

Shirena Murphy

Title

Owner/Ceo

Phone

(310) 978-8304

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1659396588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4283 W BROADWAY",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504545",
            "telephone_number": "310-978-8304",
            "fax_number": "310-978-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4283 W BROADWAY",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504545",
            "telephone_number": "310-978-8304",
            "fax_number": "310-978-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADDISON MEDICAL DISTRIBUTORS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "SHIRENA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-978-8304"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hawthorne, CA
• Providers in Hawthorne, 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 18, 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.