Royal Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ROYAL MEDICAL SUPPLY LLC

Practice address

21822 Sherman Way Ste 201
Canoga Park, CA 91303-1938

Phone

(310) 985-1505

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Amir Ghajarian

Title

LLC Agent

Phone

(310) 985-1505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1124718820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21822 SHERMAN WAY STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031938",
            "telephone_number": "310-985-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21822 SHERMAN WAY STE 201",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031938",
            "telephone_number": "310-985-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "GHAJARIAN",
        "authorized_official_first_name": "AMIR",
        "authorized_official_title_or_position": "LLC AGENT",
        "authorized_official_telephone_number": "310-985-1505"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julissa Amaya Rubalcava
• Zinaida Rubin
• Samantha Rudin
• Mia Rueck
• Elva Ruelas

• Durable Medical Equipment & Medical Supplies in Canoga Park, CA
• Providers in Canoga Park, 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 May 8, 2023; 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.