Heritage Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

48597 Issued in CA

Legal business name

HERITAGE MEDICAL SUPPLY INC

Practice address

1210 S la Brea Ave Ste I
Inglewood, CA 90301-3891

Phone

(310) 256-4870

Fax

(310) 673-1971

NPI assigned

Apr 3, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Abera Gebre

Title

Ceo

Phone

(310) 678-5886

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210636800000",
    "number": "1194998765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S LA BREA AVE STE I",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013891",
            "telephone_number": "310-256-4870",
            "fax_number": "310-673-1971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S LA BREA AVE STE I",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903013891",
            "telephone_number": "310-256-4870",
            "fax_number": "310-673-1971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-05-13",
        "status": "A",
        "authorized_official_last_name": "GEBRE",
        "authorized_official_first_name": "ABERA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-678-5886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "48597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Christopher Alexander Hernandez Cruz
• Cinthya Patricia Hernandez
• Claudia Irene Hernandez
• Gladys Hernandez

• Durable Medical Equipment & Medical Supplies in Inglewood, CA
• Providers in Inglewood, 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 13, 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.