Organization Active NPI

Western Medical Supply Services Inc.

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1245471366
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WESTERN MEDICAL SUPPLY SERVICES INC.
Practice address
14803 S Western Ave
Gardena, CA 90249-3309
Phone
(310) 323-3600
Fax
(310) 323-3604
NPI assigned
Mar 19, 2009
Last updated
Dec 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Authorized official

Name
Henry Ikenze
Title
Director
Phone
(310) 323-3600

Specialties & licenses 1

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

Addresses

Primary practice location

14803 S Western Ave
Gardena, CA 90249-3309

Mailing address

14803 S Western Ave
Gardena, CA 90249-3309
Phone (310) 323-3600

National Provider Directory

National Provider Directory

Locations

14803 S Western Ave
Gardena, CA 90249
Phone (310) 323-3600

NPI Registry JSON

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291766400000",
    "number": "1245471366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14803 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493309",
            "telephone_number": "310-323-3600",
            "fax_number": "310-323-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14803 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493309",
            "telephone_number": "310-323-3600",
            "fax_number": "310-323-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN MEDICAL SUPPLY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2010-12-08",
        "status": "A",
        "authorized_official_last_name": "IKENZE",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-323-3600"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.