# SAMMED SUPPLY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093583114
- **Authorized official:** SHIVA AKHAVAN (OWNER)
- **Authorized official phone:** (949) 525-1998

## Contact information

- **Practice address:** 23591 EL TORO RD STE 211, LAKE FOREST, CA 92630-4708
- **Practice address phone:** (949) 525-1998
- **Mailing address:** 400 LIMESTONE APT 134, IRVINE, CA 92603-4107

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/18/2023
- **Last updated:** 12/18/2023