{"npi":"1578595641","type":"NPI-2","status":"active","name":{"display":"Knc Medical Supply, INC","other":[],"organization_name":"KNC MEDICAL SUPPLY, INC","authorised_official":"Okey Okafor"},"specialty":{"primary_taxonomy":"332B00000X","primary_taxonomy_description":"Durable Medical Equipment & Medical Supplies","slug":"durable-medical-equipment-medical-supplies","schema_org_specialty":null,"all":[{"code":"332BC3200X","description":"Customized Equipment (DME)","primary":false,"state":"CA","license":"DME03143G"},{"code":"332BP3500X","description":"Parenteral & Enteral Nutrition Supplies (DME)","primary":false,"state":"CA","license":"DME03143G"},{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":true,"state":"CA","license":"DME03143G"}]},"addresses":[{"purpose":"LOCATION","street_1":"3931 W SLAUSON AVE","city":"LOS ANGELES","state":"CA","postal_code":"900432976","country_code":"US","phone":"3232990837"},{"purpose":"MAILING","street_1":"4718 S MULLEN AVE","city":"LOS ANGELES","state":"CA","postal_code":"900431718","country_code":"US","phone":"3232990837","fax":"3232990839"}],"license":{"state":"CA","number":"DME03143G"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"DME03143G","state":"CA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-07-07","last_updated":"2021-10-26","_meta":{"source":"NPPES","snapshot_date":"2021-10-26","doc_url":"https://findmynpi.com/api"}}