Sunset Shoe Repair

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SUNSET SHOE REPAIR

Practice address

8036 Santa Monica Blvd
West Hollywood, CA 90046-5009

Phone

(323) 654-7743

NPI assigned

May 24, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Ani Kotelyan

Title

Owner

Phone

(323) 356-5397

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1386904258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8036 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465009",
            "telephone_number": "323-654-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8036 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465009",
            "telephone_number": "323-654-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET SHOE REPAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "KOTELYAN",
        "authorized_official_first_name": "ANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-356-5397",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Sundaram
• Sunset Healthcare Inc
• Sunset Hills Surgery Center, Inc.
• Sunset Hospice Services, Inc.
• Sunset Rehab LLC
• Sunset Smile Dental Corp
• Sunset Walk-in Healthcare & Occupational Medicine Clinic, PC
• Sunset Walk-in Healthcare and Occupational Medicine Clinic, PC
• James S Sunwoo, MD, DDS
• Supreme Hospice and Palliative Care, Inc.

• Durable Medical Equipment & Medical Supplies in West Hollywood, CA
• Providers in West Hollywood, 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 May 24, 2012; 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.