Ilron Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ILRON MEDICAL SUPPLIES, INC

Doing business as

olympic medical supply

Practice address

6132 Wilshire Blvd
Los Angeles, CA 90048-5102

Phone

(323) 931-1211

Fax

(323) 931-1411

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Maya Heimanson

Title

President

Phone

(323) 931-1211

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• olympic medical supply Doing business as

Locations

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260403200000",
    "number": "1104998111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6132 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485102",
            "telephone_number": "323-931-1211",
            "fax_number": "323-931-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6132 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485102",
            "telephone_number": "323-931-1211",
            "fax_number": "323-931-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILRON MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-12-10",
        "status": "A",
        "authorized_official_last_name": "HEIMANSON",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-931-1211",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02241F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "olympic medical supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabrielle Ilg
• Daniel Ilinsky, MD
• Sandra Illescas
• Alejandra Meritxell Illingworth
• Georgette Ifeoma Ilouno
• Pauline F Ilsen, O.D.
• Julie L Ilustre
• Ilya Gelman M. D., a Professional Corporation
• Ilya Gelman, M.D., a Professional Corporation
• Ilya Kaminsky DC a Professional Corporation

• 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 Dec 10, 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.