Organization Active NPI

Medicalstationsupply

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1073752820
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MEDICALSTATIONSUPPLY
Practice address
1143 S Los Angeles St
Los Angeles, CA 90015-2536
Phone
(310) 770-7309
Fax
(213) 612-4936
NPI assigned
Feb 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Daniel Azizi
Title
Treasurer
Phone
(310) 279-0642

Specialties & licenses 1

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

Addresses

Primary practice location

1143 S Los Angeles St
Los Angeles, CA 90015-2536

Mailing address

120 N Elm Dr
Beverly Hills, CA 90210-5510
Phone (310) 279-0624

National Provider Directory

National Provider Directory

Locations

1143 S Los Angeles St
Los Angeles, CA 90015
Phone (310) 770-7309

NPI Registry JSON

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1073752820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N ELM DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105510",
            "telephone_number": "310-279-0624",
            "fax_number": "213-612-4936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 S LOS ANGELES ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900152536",
            "telephone_number": "310-770-7309",
            "fax_number": "213-612-4936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICALSTATIONSUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "AZIZI",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "310-279-0642"
    },
    "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 Feb 18, 2009; 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.