Active NPI
Samsung Medical Supplies USA Corp.
Doing business as Samsung Medical Supplies
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1033277520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- SAMSUNG MEDICAL SUPPLIES USA CORP.
- Doing business as
- Samsung Medical Supplies
- Practice address
- 2727 W Olympic Blvd
112
Los Angeles, CA 90006-2637 - Phone
- (213) 388-8230
- Fax
- (213) 388-8678
- NPI assigned
- Dec 5, 2006
- Last updated
- Mar 23, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Bumi T Ryu
- Title
- President
- Phone
- (213) 388-8230
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
2727 W Olympic Blvd
112
Los Angeles, CA 90006-2637
Mailing address
2727 W Olympic Blvd
112
Los Angeles, CA 90006-2637
Phone (213) 388-8230
Other names 1
- Samsung Medical Supplies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930081809 | CA | DME Supplier - Medical Supply Company With Orthotic Personnel | 9032316732 | Practice locations: Los Angeles, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Samsung Medical Supplies USA Corp | Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Infrared Heating Pads Systems and/or Supplies|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Power Operated Vehicles (Scooters… | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
2727 W Olympic Blvd
Ste 112
Los Angeles, CA 90006
Phone (213) 388-8230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1237766400000",
"number": "1033277520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 W OLYMPIC BLVD",
"address_2": "112",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062637",
"telephone_number": "213-388-8230",
"fax_number": "213-388-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 W OLYMPIC BLVD",
"address_2": "112",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900062637",
"telephone_number": "213-388-8230",
"fax_number": "213-388-8678"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMSUNG MEDICAL SUPPLIES USA CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-05",
"last_updated": "2009-03-23",
"status": "A",
"authorized_official_last_name": "RYU",
"authorized_official_first_name": "BUMI",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "213-388-8230",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Samsung Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.