Lacrescenta Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

101418 Issued in CA

Legal business name

LACRESCENTA MEDICAL SUPPLY

Practice address

3131 Foothill Blvd Ste G
La Crescenta, CA 91214-4229

Phone

(818) 542-9800

Fax

(818) 542-9830

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

Anna Sharyan

Title

Owner

Phone

(818) 542-9800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1982638144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 FOOTHILL BLVD STE G",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144229",
            "telephone_number": "818-542-9800",
            "fax_number": "818-542-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 FOOTHILL BLVD STE G",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144229",
            "telephone_number": "818-542-9800",
            "fax_number": "818-542-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACRESCENTA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "SHARYAN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-542-9800"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "101418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Wan Kim, ACUPUNCTURIST
• Jeffer Cherengeti Kiprotcih, RN
• Cynthia Klinger, MFT
• La Crescenta Hospice Care, Corp.
• La Crescenta Pharmacy Inc (La Crescenta Pharmacy)
• Anait Lalikian
• Lavida Care Inc.
• Brian Jin Han Lee, PHARMD
• Hee Eun Lee, L.AC.
• Hyoung Eun Lee, PHARM. D.

• Durable Medical Equipment & Medical Supplies in La Crescenta, CA
• Providers in La Crescenta, 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 Sep 19, 2007; 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.