Smitty Medical Supply Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SMITTY MEDICAL SUPPLY INC.

Practice address

10719 S Inglewood Ave
Suite E
Inglewood, CA 90304-4810

Phone

(310) 677-7911

Fax

(310) 667-7668

NPI assigned

Nov 11, 2008

Organization subpart

No

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

Authorized official

Name

Danielle D Smith

Title

Owner/Ceo

Phone

(310) 677-7911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1306090865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10719 S INGLEWOOD AVE",
            "address_2": "SUITE E",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903044810",
            "telephone_number": "310-677-7911",
            "fax_number": "310-677-7668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10719 S INGLEWOOD AVE",
            "address_2": "SUITE E",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903044810",
            "telephone_number": "310-677-7911",
            "fax_number": "310-667-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITTY MEDICAL SUPPLY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-677-7911"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Smith
• Dwight Smith, M.D.
• Kristiana Smith
• Lashaun Smith
• Noelle Smith, RN
• Pamela Snow
• So Cal Integrated Medical Group
• So Cal Mental Health, P.C.
• Carina Megan So, OTR/L
• Mirian Antonia Soba

• Customized Equipment (DME) in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.