LAKE AVENUE MEDICAL SUPPLY INC. (NPI# 1962703454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962703454 |
| Entity Type | Organization |
| Organization Name | LAKE AVENUE MEDICAL SUPPLY INC. |
| Practice Address |
467 N Lake Ave Pasadena CA 91101-1215 |
| Practice Telephone | 6264050440 |
| Practice Fax Number | 6264050450 |
| Mailing Telephone | 6264050440 |
| Mailing Fax Number | 6264050450 |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |
| Authorized Official Name | MRS. RONEN SARAFIAN MALEK (PRESIDENT) |
| Authorized Official Telephone | 6264050440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 53974 | CA | Suppliers |
| Street Address |
467 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91101-1215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696404 | Sophia Ting-jan Liang | Student in an Organized Health Care Education/Training Program | 98 S. Los Robles Ave., Kaiser Permanente Bernard J. Tyson School of Medicine, Pasdena, CA 91101 | 2020-07-17 |
| 1851917033 | Casa De Las Amigas | Lodging | 173 N Oak Knoll Ave, Pasadena, CA 91101 | 2020-06-23 |
| 1467076869 | Tong Qi | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard Kj. Tyson School of Medicine, Pasadena, CA 91101 | 2020-06-01 |
| 1386267839 | Kelly B Shriver | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Medicine, 98 S. Los Robles, Pasadena, CA 91101 | 2020-05-19 |
| 1427600758 | Brooke Danielle Pechman | Marriage & Family Therapist | 221 E Walnut Street, Suite 138, Pasadena, CA 91101 | 2019-07-16 |
| 1952897563 | Robert Howes Hambleton | Dentist | 200 S. Oak Knoll Ave #201, Pasadena, CA 91101 | 2018-07-06 |
| 1801306774 | Joseph Hendrix | Social Worker | 1500 South Mcdonnell Avenue, Commerce, CA 91101 | 2017-10-05 |
| 1730606070 | Candice Anne Watson | Nurse Practitioner | 350 South Madison Ave #322, Pasadena, CA 91101 | 2017-08-28 |
| 1700320223 | Jenny H. Pak | Psychologist | 180 N. Oakland Ave., Pasadena, CA 91101 | 2016-12-19 |
| 1578005401 | James Maddox | Student in an Organized Health Care Education/Training Program | 447 El Molino Ave, Pasadena, CA 91101 | 2016-11-09 |
| Find all providers in zip 91101 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877392 | Americans First Medical Equipment & Supplies LLC | Durable Medical Equipment & Medical Supplies | 259 Sierra Madre Villa Ave Ste 108, Pasadena, CA 91107-3150 | 2020-09-25 |
| 1831711498 | Evette Renee Ingram | Durable Medical Equipment & Medical Supplies | 1581 E Colorado Blvd, Pasadena, CA 91106-2132 | 2020-05-17 |
| 1194387548 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 959 E Walnut St Ste 125, Pasadena, CA 91106-1451 | 2019-07-06 |
| 1104485473 | Medplus Pharmacy 3 | Durable Medical Equipment & Medical Supplies | 5150 Crenshaw Rd Ste 9, Pasadena, TX 77505-3094 | 2019-06-11 |
| 1518328038 | Lake Shore Drugs LLC | Durable Medical Equipment & Medical Supplies | 3820 Mountain Rd Unit G, Pasadena, MD 21122-2027 | 2016-03-10 |
| 1801279062 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 8107 Gov Ritchie Hwy, Pasadena, MD 21122-6917 | 2015-07-07 |
| 1043639420 | Optimal Sleep, LLC | Durable Medical Equipment & Medical Supplies | 215 N Marengo Ave Ste 110, Pasadena, CA 91101-1563 | 2014-04-14 |
| 1487923090 | General Medical Company | Durable Medical Equipment & Medical Supplies | 123 W Bellevue Dr, Suite 2, Pasadena, CA 91105-2549 | 2011-12-28 |
| 1457654253 | Forever Active Inc | Durable Medical Equipment & Medical Supplies | 1 W Mountain St Unit 9, Pasadena, CA 91103-3010 | 2010-12-16 |
| 1619283025 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2376 E Colorado Blvd, Pasadena, CA 91107-4249 | 2010-08-23 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.