A C T Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

A C T MEDICAL SUPPLIES, INC

Doing business as

ACT Medical Supplies

Practice address

2928 Westminster Ave
Seal Beach, CA 90740-5305

Phone

(562) 430-6140

Fax

(562) 430-6143

NPI assigned

Aug 25, 2006

Last updated

Feb 2, 2011By 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. Khatol M Hassanzadi

Title

Owner/Secretary

Phone

(562) 430-6140

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ACT Medical Supplies Doing business as

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296604800000",
    "number": "1679681340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 WESTMINSTER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405305",
            "telephone_number": "562-430-6140",
            "fax_number": "562-430-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 WESTMINSTER AVE",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907405305",
            "telephone_number": "562-430-6140",
            "fax_number": "562-430-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A C T MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2011-02-02",
        "status": "A",
        "authorized_official_last_name": "HASSANZADI",
        "authorized_official_first_name": "KHATOL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/SECRETARY",
        "authorized_official_telephone_number": "562-430-6140",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03304F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACT Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Seal Beach, CA
• Providers in Seal 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 Feb 2, 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.