Blanc Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

43638 Issued in CA

Legal business name

BLANC MEDICAL SUPPLIES

Practice address

10983 Glenoaks Blvd
Pacoima, CA 91331-1632

Phone

(818) 897-9100

Fax

(818) 897-7533

NPI assigned

Mar 12, 2007

Last updated

Feb 29, 2008By 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

Gabriel DjanuntsNPI 1437320579

Title

Owner

Phone

(818) 897-9100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabriel Djanunts

  • Durable Medical Equipment & Medical Supplies
  • Pacoima, CA
  • NPI 1437320579
  NPD (past) Authorized official

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1861524902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10983 GLENOAKS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311632",
            "telephone_number": "818-897-9100",
            "fax_number": "818-897-7533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10983 GLENOAKS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913311632",
            "telephone_number": "818-897-9100",
            "fax_number": "818-897-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLANC MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "DJANUNTS",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-897-9100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Bergholtz, B.S.
• Riquerme Berroa Jr.
• Saba Billoo
• Biotransit-la Inc
• Angelica Bivian
• Blanc Medical Supplies Inc
• Marie Bohui
• Ana Bolanos
• Heidi Linette Bolanos
• Michael Bonilla

• Durable Medical Equipment & Medical Supplies in Pacoima, CA
• Providers in Pacoima, 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 29, 2008; 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.