Healthcare Provider Details

I. General information

NPI: 1316905565
Provider Name (Legal Business Name): AMERICAN MEDICAL SUPPLY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10451 PEARSON PL
SUNLAND CA
91040-1624
US

IV. Provider business mailing address

10451 PEARSON PL
SUNLAND CA
91040-1624
US

V. Phone/Fax

Practice location:
  • Phone: 818-352-1614
  • Fax: 818-951-0799
Mailing address:
  • Phone: 818-352-1614
  • Fax: 818-951-0799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number103734
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number17924
License Number StateCA

VIII. Authorized Official

Name: MR. MICHAEL T DUFFY
Title or Position: OWNER
Credential:
Phone: 818-352-1614