Gallant Medical Supply, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

PENDING Issued in CA

Legal business name

GALLANT MEDICAL SUPPLY, INC.

Practice address

162 N San Jacinto St
Hemet, CA 92543-4450

Phone

(951) 658-2505

Fax

(951) 658-2460

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By 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

Mr. Young Dennis Ahn

Title

Ceo

Phone

(951) 672-4965

Specialties & licenses 1

Addresses

Tax ID family

Gallant Medical Transportation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Gallant Medical Supply Inc

  dba Gallant Medical Supply

  • Oxygen Equipment & Supplies (DME)
  • Sun City, CA
  • NPI 1205865383
  NPD tax ID
• Gallant Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Sun City, CA
  • NPI 1407287576
  NPD tax ID

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366597858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27740 ENCANTO DR",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925864521",
            "telephone_number": "951-672-4965",
            "fax_number": "951-672-4966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 N SAN JACINTO ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434450",
            "telephone_number": "951-658-2505",
            "fax_number": "951-658-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLANT MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AHN",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-672-4965",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheyvon Latonya Fullwood
• G.S.Castillo, D.D.S. a Professional Corporation
• Leila R Gabriel, O.T.R.
• Srikanth Gadam, MD
• Jarell Gaines
• Erika Beatriz Gallardo Navarro
• Kokoe Galli, MPA, PA-C
• Andrea Lynne Gammage, PRS CATC IV CWC II
• Dipeshkumar K Gandhi, MD
• Sanyasi R Ganta, M.D,

• Oxygen Equipment & Supplies (DME) in Hemet, CA
• Providers in Hemet, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• 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.