Ims Medical Supply Inc

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

IMS MEDICAL SUPPLY INC

Practice address

8400 Lincoln Blvd # B
Los Angeles, CA 90045-2416

Phone

(888) 519-8314

NPI assigned

Aug 18, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Mehran Kohanbash

Title

President

Phone

(888) 519-8314

Specialties & licenses 2

Addresses

Other names 1

• INSURE NUTRITION Doing business as

Locations

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

{
    "created_epoch": "1376784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376784000000",
    "number": "1306279963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 LINCOLN BLVD # B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452416",
            "telephone_number": "888-519-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 LINCOLN BLVD # B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452416",
            "telephone_number": "888-519-8314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-18",
        "last_updated": "2013-08-18",
        "status": "A",
        "authorized_official_last_name": "KOHANBASH",
        "authorized_official_first_name": "MEHRAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-519-8314",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INSURE NUTRITION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Parenteral & Enteral Nutrition Supplies (DME) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; 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.