MGS Medical Equipment Supplier

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

000201429000012 Issued in CA

Legal business name

MGS MEDICAL EQUIPMENT SUPPLIER

Practice address

8921 S Sepulveda Blvd Ste 104
Los Angeles, CA 90045-3650

Phone

(310) 670-7439

Fax

(310) 670-7465

NPI assigned

Jul 11, 2006

Last updated

Jul 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Girmaye Seyum

Title

Prisdent

Phone

(310) 670-7439

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1093749277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 S SEPULVEDA BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453650",
            "telephone_number": "310-670-7439",
            "fax_number": "310-670-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8921 S SEPULVEDA BLVD STE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453650",
            "telephone_number": "310-670-7439",
            "fax_number": "310-670-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGS MEDICAL EQUIPMENT SUPPLIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "SEYUM",
        "authorized_official_first_name": "GIRMAYE",
        "authorized_official_title_or_position": "PRISDENT",
        "authorized_official_telephone_number": "310-670-7439",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "000201429000012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.