Organization · Type 2 NPI

Lake Avenue Medical Supply Inc.

Durable Medical Equipment & Medical Supplies · Pasadena, CA

NPI number 1962703454 Active

Practice location

467 N Lake Ave
Pasadena, CA 91101-1215

Call (626) 405-0440 Map

Fax (626) 405-0450

Specialties and licenses

TaxonomyCodeLicense
Durable Medical Equipment & Medical Supplies Primary 332B00000X53974 (CA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1962703454

Lake Avenue Medical Supply Inc.'s National Provider Identifier is 1962703454, issued on Nov 15, 2010. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Pasadena, CA. The record was last updated on Nov 15, 2010.