Ad Medical Supply Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0002459724-0001-0 Issued in CA

Legal business name

AD MEDICAL SUPPLY INC.

Practice address

21033 Devonshire St.
Chatsworth, CA 91311

Phone

(818) 993-9030

Fax

(818) 993-9031

NPI assigned

Oct 27, 2009

Last updated

Dec 8, 2010By 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

Mrs. Anna Davtyan

Title

Mrs.

Phone

(818) 993-9030

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1659607695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21033 DEVONSHIRE ST.",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "91311",
            "telephone_number": "818-993-9030",
            "fax_number": "818-993-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21033 DEVONSHIRE ST.",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "91311",
            "telephone_number": "818-993-9030",
            "fax_number": "818-993-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AD MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-27",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "DAVTYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "MRS.",
        "authorized_official_telephone_number": "818-993-9030",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "0002459724-0001-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Dec 8, 2010; 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.