El Monte Nutritional and Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES

Practice address

2002 Durfee Ave
El Monte, CA 91733-3713

Phone

(626) 975-9712

Fax

(626) 442-7810

NPI assigned

Dec 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Ishak N.Z. Bishara, M.D.

Title

Owner

Phone

(626) 442-5015

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1669701090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 DURFEE AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917333713",
            "telephone_number": "626-975-9712",
            "fax_number": "626-442-7810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 DURFEE AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917333713",
            "telephone_number": "626-975-9712",
            "fax_number": "626-442-7810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL MONTE NUTRITIONAL AND MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "BISHARA",
        "authorized_official_first_name": "ISHAK",
        "authorized_official_middle_name": "N.Z.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-442-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• El Monte Dental Esthetics and Xray Imaging Inc
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• El Monte Healthcare Center, LLC
• El Monte Latino Medical Group Inc.
• El Monte Optometry Inc
• El Monte SNF, LLC
• El Monte Union High School District
• Elegant Acu Inc
• Elegant Acu Inc

• All providers in El Monte, CA
• 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 14, 2009; 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.