Soul Source Therapeutic Devices, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOUL SOURCE THERAPEUTIC DEVICES, INC.

Practice address

5404 Whitsett Ave
#205
North Hollywood, CA 91607-1615

Phone

(818) 574-0078

Fax

(503) 892-5787

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Lloyd Silverstein

Title

Vice President

Phone

(818) 574-0078

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1750825857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 WHITSETT AVE",
            "address_2": "#205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916071615",
            "telephone_number": "818-574-0078",
            "fax_number": "503-892-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 WHITSETT AVE",
            "address_2": "#205",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916071615",
            "telephone_number": "818-574-0078",
            "fax_number": "503-892-5787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SOURCE THERAPEUTIC DEVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "SILVERSTEIN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-574-0078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in North Hollywood, CA
• Providers in North Hollywood, 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 7, 2016; 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.