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Lake Avenue Medical Supply Inc.
Durable Medical Equipment & Medical Supplies in Pasadena, California
NPI 1962703454

Lake Avenue Medical Supply Inc. is a Durable Medical Equipment & Medical Supplies based in Pasadena, CA. Lake Avenue Medical Supply Inc. practices in Pasadena, CA. The NPI Number for Lake Avenue Medical Supply Inc. is 1962703454 and holds a License No. 53974 (California).

The current practice location address for Lake Avenue Medical Supply Inc. is 467 N Lake Ave, Pasadena, CA and can be reached out via phone at 626-405-0440 and via fax at 626-405-0450.

Location: 467 N Lake Ave, Pasadena, CA, 91101-1215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962703454
Provider Name
Lake Avenue Medical Supply Inc.
Credential
Provider Entity Type
Organization
Address
467 N Lake Ave, Pasadena, CA, 91101-1215
Phone Number
626-405-0440
Fax Number
626-405-0450
Provider Enumeration Date
11/15/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
467 N Lake Ave
City
Pasadena
State
California
Zip
91101-1215
Phone Number
626-405-0440
Fax Number
626-405-0450
person
Provider Business Mailing Address Details
Address
467 N Lake Ave
City
Pasadena
State
California
Zip
91101-1215
Phone Number
626-405-0440
Fax Number
626-405-0450
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
53974 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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