Active NPI
Aa Medical Supply Inc.
- Durable Medical Equipment & Medical Supplies
- Canoga Park, CA
National Provider Identifier
1730246877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 46242
- Legal business name
- AA MEDICAL SUPPLY INC.
- Practice address
- 20944 Sherman Way Ste 206a
Canoga Park, CA 91303-3631 - Phone
- (818) 992-0623
- Fax
- (818) 887-4161
- NPI assigned
- Jan 1, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Andrey Azovskiy
- Title
- Owner
- Phone
- (818) 992-0623
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 46242 | CA | Primary |
Addresses
Primary practice location
20944 Sherman Way Ste 206a
Canoga Park, CA 91303-3631
Mailing address
20944 Sherman Way Ste 206a
Canoga Park, CA 91303-3631
Phone (818) 992-0623
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1730246877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20944 SHERMAN WAY STE 206A",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033631",
"telephone_number": "818-992-0623",
"fax_number": "818-887-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20944 SHERMAN WAY STE 206A",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913033631",
"telephone_number": "818-992-0623",
"fax_number": "818-887-4161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AA MEDICAL SUPPLY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "AZOVSKIY",
"authorized_official_first_name": "ANDREY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-992-0623",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "46242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.