Organization Active NPI

Mazsa Corporation

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1366501322
Registry record updated Oct 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
46250 Issued in CA
Legal business name
MAZSA CORPORATION
Doing business as
mazsa medical supplies
Practice address
1818 S Western Ave
Suite 502
Los Angeles, CA 90006-5807
Phone
(323) 373-9868
Fax
(323) 954-7424
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2007

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

Authorized official

Name
Mr. Mohammed Olatunde Shekoni
Title
Director of Operation
Phone
(323) 373-9868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 46250 CA Primary

Addresses

Primary practice location

1818 S Western Ave
Suite 502
Los Angeles, CA 90006-5807

Mailing address

1818 S Western Ave
Suite 502
Los Angeles, CA 90006-5807
Phone (323) 373-9868

Other names 1

  • mazsa medical supplies Doing business as

National Provider Directory

National Provider Directory

Locations

1818 S Western Ave
Ste 502
Los Angeles, CA 90006
Phone (323) 373-9868

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1366501322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "SUITE 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "323-373-9868",
            "fax_number": "323-954-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S WESTERN AVE",
            "address_2": "SUITE 502",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900065807",
            "telephone_number": "323-373-9868",
            "fax_number": "323-954-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZSA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "SHEKONI",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "OLATUNDE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATION",
        "authorized_official_telephone_number": "323-373-9868",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mazsa medical supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 26, 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.