Ras Medical Supplies Inc,

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102795 Issued in CA

Legal business name

RAS MEDICAL SUPPLIES INC,

Practice address

1024 S la Brea Ave
Los Angeles, CA 90019-6901

Phone

(323) 939-8600

Fax

(323) 939-8610

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Bruck Mengistu

Title

President

Phone

(323) 939-8600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1407905359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196901",
            "telephone_number": "323-939-8600",
            "fax_number": "323-939-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 S LA BREA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900196901",
            "telephone_number": "323-939-8600",
            "fax_number": "323-939-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAS MEDICAL SUPPLIES INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "MENGISTU",
        "authorized_official_first_name": "BRUCK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-939-8600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "432766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camille Ann Cordova Raquel, LCSW
• Joel Raqueno
• Isabella Raroque, PT, DPT
• Olivia Ureta Raroque
• Jamie Rarrick
• Ras Outreach Ministry Inc
• Madeline Rasch
• Alessandra Raschkovsky, DDS
• Brittany Rascon
• Scott A. Rasgon, MD

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 27, 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.