Organization Active NPI

Incredible Medical

  • Durable Medical Equipment & Medical Supplies
  • Beverly Hills, CA
National Provider Identifier
1023208113
Registry record updated Jul 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
INCREDIBLE MEDICAL
Practice address
8847 Wilshire Boulevard
Beverly Hills, CA 90211-3207
Phone
(310) 854-7773
Fax
(323) 653-3601
NPI assigned
Jul 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2007

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

Authorized official

Name
David Herman
Title
President
Phone
(310) 854-7773

Specialties & licenses 1

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

Addresses

Primary practice location

8847 Wilshire Boulevard
Beverly Hills, CA 90211-3207

Mailing address

8847 Wilshire Boulevard
Beverly Hills, CA 90211-3207
Phone (310) 854-7773

National Provider Directory

National Provider Directory

Locations

8847 Wilshire Blvd
Beverly Hills, CA 90211
Phone (310) 854-7773

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185408000000",
    "number": "1023208113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8847 WILSHIRE BOULEVARD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113207",
            "telephone_number": "310-854-7773",
            "fax_number": "323-653-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8847 WILSHIRE BOULEVARD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113207",
            "telephone_number": "310-854-7773",
            "fax_number": "323-653-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCREDIBLE MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-854-7773"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.