Edgemont Medical Equipment Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

000241471900017 Issued in CA

Legal business name

EDGEMONT MEDICAL EQUIPMENT INC.

Practice address

1041 N Edgemont St
Los Angeles, CA 90029-2533

Phone

(323) 665-4288

Fax

(323) 665-7729

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Eprem Fodolyan

Title

Ceo

Phone

(323) 665-4288

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1316188683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 N EDGEMONT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292533",
            "telephone_number": "323-665-4288",
            "fax_number": "323-665-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 N EDGEMONT ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900292533",
            "telephone_number": "323-665-4288",
            "fax_number": "323-665-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEMONT MEDICAL EQUIPMENT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "FODOLYAN",
        "authorized_official_first_name": "EPREM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-665-4288",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "000241471900017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edgardo M Capitulo MD Inc
• Juliet Beni Edgcomb, MD PHD
• Isabel Edge, M.D.
• Lindsey Edgell, OTR/L
• Edgemont Medical Clinic
• Bradford W. Edgerton, MD
• Grace Uwaila Ediae, MSC, CGC, CCGC
• Lara Kristin Edinger, DO
• Edio Corporation (University Care Pharmacy)
• Arease Edison, ED.D.

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 3, 2011; 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.