Organization Active NPI

Royal Medical Supply Co.

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1215984703
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100688 Issued in CA
Legal business name
ROYAL MEDICAL SUPPLY CO.
Practice address
6227 Wilshire Blvd
Los Angeles, CA 90048-5103
Phone
(323) 931-8051
Fax
(323) 931-3248
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Mr. Val Bogomolny
Title
Owner
Phone
(323) 931-8051

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 100688 CA Primary

Addresses

Primary practice location

6227 Wilshire Blvd
Los Angeles, CA 90048-5103

Mailing address

6227 Wilshire Blvd
Los Angeles, CA 90048-5103
Phone (323) 931-8051

National Provider Directory

National Provider Directory

Locations

6227 Wilshire Blvd
Los Angeles, CA 90048
Phone (323) 931-8051

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1215984703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6227 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485103",
            "telephone_number": "323-931-8051",
            "fax_number": "323-931-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6227 WILSHIRE BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485103",
            "telephone_number": "323-931-8051",
            "fax_number": "323-931-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MEDICAL SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "BOGOMOLNY",
        "authorized_official_first_name": "VAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-931-8051",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "100688",
            "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 Nov 2, 2007; 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.