Organization Active NPI

Tri-City Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1356449722
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.