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

Promed Supply LLC

Organization Medical Specialty Clinic/Center · NPI 1043871403

Promed Supply LLC is a Medical Specialty Clinic/Center in Van Nuys, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16045 Sherman Way Ste C
Van Nuys, CA 91406-4085
Phone: (818) 616-4348
Fax: (818) 616-4134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X

Record details

NPI number1043871403
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Petros Patatanian — President · (818) 616-4348
NPI enumeratedJune 26, 2019
Last updated in NPPESJune 26, 2019
Mailing address16045 Sherman Way Ste C, Van Nuys, CA 91406-4085

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