Sun Valley Medical Devices Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102977 Issued in CA

Legal business name

SUN VALLEY MEDICAL DEVICES INC.

Practice address

3629 N Sepulveda Blvd
103
Manhattan Beach, CA 90266-3632

Phone

(424) 247-7308

Fax

(866) 617-1708

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Diane Georgina Henderson

Title

President

Phone

(424) 247-7308

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315267200000",
    "number": "1669555678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 N SEPULVEDA BLVD",
            "address_2": "SUITE 103",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663632",
            "telephone_number": "424-247-7308",
            "fax_number": "866-617-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 N SEPULVEDA BLVD",
            "address_2": "103",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902663632",
            "telephone_number": "424-247-7308",
            "fax_number": "866-617-1708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN VALLEY MEDICAL DEVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2011-09-06",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "GEORGINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-247-7308"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Manhattan Beach, CA
• Providers in Manhattan Beach, 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 Sep 6, 2011; 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.