Ctr Medical Enterprises, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

54666 Issued in CA

Legal business name

CTR MEDICAL ENTERPRISES, INC

Practice address

3898 Cerritos Ave
Los Alamitos, CA 90720-2420

Phone

(714) 826-7890

Fax

(714) 826-7839

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Harold Clifton Ross

Title

Owner

Phone

(714) 826-7890

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1992898647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3898 CERRITOS AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202420",
            "telephone_number": "714-826-7890",
            "fax_number": "714-826-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3898 CERRITOS AVE",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907202420",
            "telephone_number": "714-826-7890",
            "fax_number": "714-826-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CTR MEDICAL ENTERPRISES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-826-7890",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "54666",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "54666",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL DEVICE LICENSE",
            "identifier": "54666",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Los Alamitos, CA
• Providers in Los Alamitos, 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 Oct 4, 2013; 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.