Organization 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
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930081809 CA DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company 9032316732 Practice locations: Los Angeles, CA

Laboratory certificates & supplier records

Derived by NPIMap

These 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

SupplierSuppliesMedicare assignment
Samsung Medical Supplies USA Corp2727W Olympic Blvd 112, Los Angeles, CA 90006-2641(213) 388-8230 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 assignmentParticipating since Aug 26, 2008

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.