Med Life & Orthopedic Shoes Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

49653 Issued in CA

Legal business name

MED LIFE & ORTHOPEDIC SHOES INC

Practice address

9909 Canoga Ave
Unit I
Chatsworth, CA 91311-3070

Phone

(818) 701-5101

Fax

(877) 320-4743

NPI assigned

Jul 30, 2008

Last updated

Jul 15, 2014By 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

Min Yoo

Title

President/Owner

Phone

(818) 701-5101

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1659537595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9909 CANOGA AVE",
            "address_2": "UNIT I",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113070",
            "telephone_number": "818-701-5101",
            "fax_number": "877-320-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9909 CANOGA AVE",
            "address_2": "UNIT I",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913113070",
            "telephone_number": "818-701-5101",
            "fax_number": "877-320-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED LIFE & ORTHOPEDIC SHOES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "YOO",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "818-701-5101"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "49653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mayberry Courtney
• Mary Kathleen Mazel, M.D.
• Banafsheh Mazloumi, FNP-BC
• Dean McDermott
• Jessica McSilvers, RN
• Medicus Home Health Agency
• Medlife Medical Supply Inc
• Medtransit Inc. (MedTransit)
• Juan Manuel Mejia, DDS
• Suzy Melkonian, MD

• Durable Medical Equipment & Medical Supplies in Chatsworth, CA
• Providers in Chatsworth, 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 Jul 15, 2014; 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.