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

Lake Avenue Medical Supply Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1962703454

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

Licensed in
CA
In the registry since
2010
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

467 N Lake Ave
Pasadena, CA 91101-1215
Phone: (626) 405-0440
Fax: (626) 405-0450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 53974 (CA)

Record details

NPI number1962703454
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronen Sarafian Malek — President · (626) 405-0440
NPI enumeratedNovember 15, 2010
Last updated in NPPESNovember 15, 2010
Mailing address467 N Lake Ave, Pasadena, CA 91101-1215

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