Organization
LAKE AVENUE MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONEN SARAFIAN MALEK (PRESIDENT)
(626) 405-0440
Entity
Organization
Contact information
Practice address
467 N LAKE AVE, PASADENA, CA 91101-1215
(626) 405-0440
(626) 405-0450
Mailing address
467 N LAKE AVE, PASADENA, CA 91101-1215
(626) 405-0440
(626) 405-0450
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
53974
CA
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up