Organization Active NPI

Cybermdcare Corporation

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1003782905
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CYBERMDCARE CORPORATION
Practice address
621 S Virgil Ave Ste 430
Los Angeles, CA 90005-4048
Phone
(800) 604-2443
NPI assigned
Oct 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sukjin Kang
Title
Administrator
Phone
(714) 686-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

621 S Virgil Ave Ste 430
Los Angeles, CA 90005-4048

Mailing address

621 S Virgil Ave Ste 430
Los Angeles, CA 90005-4048

National Provider Directory

National Provider Directory
Tax ID family
Cybermdcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

621 S Virgil Ave
Ste 430
Los Angeles, CA 90005
Phone (714) 686-5225

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760572800000",
    "number": "1003782905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE STE 430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S VIRGIL AVE STE 430",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900054048",
            "telephone_number": "800-604-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYBERMDCARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SUKJIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "714-686-5225"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.