Fundamental Medical Supply Inc
LBN: Fundamental Medical Supply Inc
Fundamental Medical Supply Inc is an health care organization with primary practice located at 7114 Reseda Blvd , Reseda CA 91335-4210. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Parenteral & Enteral Nutrition, Suppliers / Oxygen Equipment & Supplies, Suppliers / Prosthetic/Orthotic Supplier. Suppliers / Prosthetic/Orthotic Supplier is the primary health care specialty.
Fundamental Medical Supply Inc can be contacted via phone (805) 230-2220, or through Atkozyan, Grigory via phone (805) 230-2220.
Contact Information
Primary practice address
7114 Reseda Blvd
Reseda CA 91335-4210
Phone: (805) 230-2220
Fax: (805) 230-2229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | ||
| Suppliers / Parenteral & Enteral Nutrition | 332BP3500X | 54837 | California |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | 54837 | California |
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X | 54837 | California |
Profile Details
| NPI number | 1598068512 |
|---|---|
| LBN Legal business name | Fundamental Medical Supply Inc |
| DBA Doing business as | |
| Authorized official | Atkozyan, Grigory |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 14th, 2010 |
| Last updated | Jul 10th, 2024 - about 5 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598068512 | NPPES |
| California | MEDICAID | 1598068512 |
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