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LAKE AVENUE MEDICAL SUPPLY INC.
NPI 1962703454
Durable Medical Equipment & Medical Supplies in Pasadena, CA

Active since November 15, 2010
467 N LAKE AVE, PASADENA, CA 91101(626) 405-0440(626) 405-0450 Get Directions Write a Review

NPPES record last updated: November 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Avenue Medical Supply Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE AVENUE MEDICAL SUPPLY INC. (NPI 1962703454) is a healthcare organization registered as a durable medical equipment & medical supplies in Pasadena, California and active in the NPI registry since November 2010. The organization lists Ronen Sarafian Malek, President, as its authorized official.

NPPES Registry Identity

NPI1962703454
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLAKE AVENUE MEDICAL SUPPLY INC.
Location Address467 N LAKE AVEPasadena, CA 91101-1215
Mailing Address467 N Lake AvePasadena, CA 91101-1215 · (626) 405-0440 · Fax (626) 405-0450
Phone(626) 405-0440
Fax(626) 405-0450
Organization SubpartNo
Authorized OfficialRonen Sarafian MalekPresident · (626) 405-0440
Enumeration DateNovember 15, 2010
✔ NPI 1962703454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · 53974
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.
467 N LAKE AVE, Pasadena, CA 91101
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Avenue Medical Supply Inc.'s NPI number?

The NPI number for Lake Avenue Medical Supply Inc. is 1962703454. It was assigned to this organization in the NPPES registry on November 15, 2010.

Where is Lake Avenue Medical Supply Inc. located?

Lake Avenue Medical Supply Inc. is located at 467 N Lake Ave, Pasadena, CA 91101. The listed phone number is (626) 405-0440.

What is Lake Avenue Medical Supply Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Lake Avenue Medical Supply Inc. was last updated on November 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.