Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fundamental Medical Supply Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1598068512

Fundamental Medical Supply Inc is a Durable Medical Equipment & Medical Supplies in Reseda, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7114 Reseda Blvd
Reseda, CA 91335-4210
Phone: (805) 230-2220
Fax: (805) 230-2229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X · Licence 54837 (CA)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X · Licence 54837 (CA)
Oxygen Equipment & Supplies (DME) Taxonomy 332BX2000X · Licence 54837 (CA)

Record details

NPI number1598068512
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grigory Atkozyan — President · (805) 230-2220
NPI enumeratedDecember 14, 2010
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026
Mailing address7114 Reseda Blvd, Reseda, CA 91335-4210

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