NPIMap

Organization Active NPI

Pro Care DME Supplies

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1093752578
Registry record updated Jan 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103745 Issued in CA
Legal business name
PRO CARE DME SUPPLIES
Practice address
3401 Glendale Blvd
Los Angeles, CA 90039-1814
Phone
(323) 661-6533
Fax
(323) 661-6524
NPI assigned
Jun 1, 2006
Last updated
Jan 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2008

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

Authorized official

Name
Mr. Avet Gevorgyan
Title
Owner
Phone
(323) 661-6533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103745 CA Primary

Addresses

Primary practice location

3401 Glendale Blvd
Los Angeles, CA 90039-1814

Mailing address

3401 Glendale Blvd
Los Angeles, CA 90039-1814
Phone (323) 661-6533

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201305600000",
    "number": "1093752578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391814",
            "telephone_number": "323-661-6533",
            "fax_number": "323-661-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 GLENDALE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900391814",
            "telephone_number": "323-661-6533",
            "fax_number": "323-661-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO CARE DME SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-01-26",
        "status": "A",
        "authorized_official_last_name": "GEVORGYAN",
        "authorized_official_first_name": "AVET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-661-6533",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103745",
            "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 Jan 26, 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.