Fab Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

FAB MEDICAL SUPPLY, INC.

Practice address

5250 W Century Blvd Ste 504
Los Angeles, CA 90045-5942

Phone

(310) 642-0703

Fax

(310) 642-0789

NPI assigned

Apr 16, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Frehiwot Seletene

Title

President

Phone

(310) 642-0703

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1972746220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD STE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455942",
            "telephone_number": "310-642-0703",
            "fax_number": "310-642-0789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD STE 504",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455942",
            "telephone_number": "310-642-0703",
            "fax_number": "310-642-0789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAB MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "SELETENE",
        "authorized_official_first_name": "FREHIWOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-642-0703",
        "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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• Michael J Fabacher Sr., CAADE/CATC-1
• Brenda L. Fabe, MD
• Ashley Fabeck
• Diana Fabela, ACSW
• Alison Faber, D.O.

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Nov 4, 2010; 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.