Matrix Healthcare Distributors, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

17215 Issued in CA

Legal business name

MATRIX HEALTHCARE DISTRIBUTORS, INC.

Practice address

1227 W Gardena Blvd
Suite B
Gardena, CA 90247-4865

Phone

(310) 523-4473

NPI assigned

Jan 3, 2006

Last updated

Sep 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Leonora Brown

Title

Ceo

Phone

(310) 523-4473

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1316925118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W GARDENA BLVD",
            "address_2": "SUITE B",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474865",
            "telephone_number": "310-523-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W GARDENA BLVD",
            "address_2": "SUITE B",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902474865",
            "telephone_number": "310-523-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX HEALTHCARE DISTRIBUTORS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-03",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LEONORA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-523-4473",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "17215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03239F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Gardena, CA
• Providers in Gardena, 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 Sep 28, 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.