Maydads Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46889 Issued in CA

Legal business name

MAYDADS MEDICAL SUPPLY

Practice address

8939 Woodman Ave
Ste 9
Arleta, CA 91331-8015

Phone

(818) 221-6900

Fax

(818) 221-6944

NPI assigned

Mar 12, 2007

Last updated

Jun 5, 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

Mr. Sylvester O Ijewere

Title

Owner Manager

Phone

(818) 221-6900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1881726990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8939 WOODMAN AVE",
            "address_2": "STE 9",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913318015",
            "telephone_number": "818-221-6900",
            "fax_number": "818-221-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8939 WOODMAN AVE",
            "address_2": "STE 9",
            "city": "ARLETA",
            "state": "CA",
            "postal_code": "913318015",
            "telephone_number": "818-221-6900",
            "fax_number": "818-221-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYDADS MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "IJEWERE",
        "authorized_official_first_name": "SYLVESTER",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER  MANAGER",
        "authorized_official_telephone_number": "818-221-6900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Arleta, CA
• Providers in Arleta, 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 Jun 5, 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.