Active NPI
Tri-City Medical Supply Inc
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1356449722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TRI-CITY MEDICAL SUPPLY INC
- Practice address
- 11900 S Avalon Blvd
Suite 201
Los Angeles, CA 90061-2837 - Phone
- (323) 757-8992
- Fax
- (323) 757-3634
- NPI assigned
- Sep 20, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Assefa Fikre Weldemeskel
- Title
- President
- Phone
- (323) 757-8992
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | CA | Primary |
Addresses
Primary practice location
11900 S Avalon Blvd
Suite 201
Los Angeles, CA 90061-2837
Mailing address
11900 S Avalon Blvd
Suite 201
Los Angeles, CA 90061-2837
Phone (323) 757-8992
National Provider Directory
National Provider DirectoryLocations
11900 Avalon Blvd
Ste 201
Los Angeles, CA 90061
Phone (323) 757-8992
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356449722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11900 S AVALON BLVD",
"address_2": "SUITE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900612837",
"telephone_number": "323-757-8992",
"fax_number": "323-757-3634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11900 S AVALON BLVD",
"address_2": "SUITE 201",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900612837",
"telephone_number": "323-757-8992",
"fax_number": "323-757-3634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-CITY MEDICAL SUPPLY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WELDEMESKEL",
"authorized_official_first_name": "ASSEFA",
"authorized_official_middle_name": "FIKRE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-757-8992"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.