NPI Code Detail JSON Logo

1477796795 NPI number — PRIMO MEDICAL SUPPLIES INC

NPI Number: 1477796795
Health Care Provider/Practitioner: PRIMO MEDICAL SUPPLIES INC

Information about “1477796795” NPI (PRIMO MEDICAL SUPPLIES INC) exists in 1477796795 in HTML format HTML  |  1477796795 in plain Text format TXT  |  1477796795 in PDF (Portable Document Format) PDF  |  1477796795 in an XML format XML  formats.

NPI Number : 1477796795 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1477796795",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PRIMO MEDICAL SUPPLIES INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "17337 VENTURA BLVD",
    "SecondLineMailingAddress": "SUITE 220",
    "MailingAddressCityName": "ENCINO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91316-4039",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-224-5811",
    "MailingAddressFaxNumber": "818-235-0103",
    "FirstLinePracticeLocationAddress": "17337 VENTURA BLVD",
    "SecondLinePracticeLocationAddress": "SUITE 220",
    "PracticeLocationAddressCityName": "ENCINO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91316-4039",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-224-5811",
    "PracticeLocationAddressFaxNumber": "818-235-0103",
    "EnumerationDate": "04/16/2009",
    "LastUpdateDate": "06/14/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BAHNASSI",
    "AuthorizedOfficialFirstName": "FAYSAL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "818-909-3790",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": "50981",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.