Domtek Medical&Allied Services Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103058 Issued in CA

Legal business name

DOMTEK MEDICAL&ALLIED SERVICES INC

Practice address

2930 W Imperial Hwy Ste 200I
Inglewood, CA 90303-3142

Phone

(323) 242-7523

Fax

(323) 242-7523

NPI assigned

Jul 23, 2006

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. Natson Olade

Title

Operations Manager

Phone

(323) 242-7523

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1427079383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY STE 200I",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033142",
            "telephone_number": "323-242-7523",
            "fax_number": "323-242-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY STE 200I",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033142",
            "telephone_number": "323-242-7523",
            "fax_number": "323-242-7523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMTEK MEDICAL&ALLIED SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLADE",
        "authorized_official_first_name": "NATSON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "323-242-7523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL DEVICE RETAI",
            "identifier": "103058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Inglewood, CA
• Providers in Inglewood, 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 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.