V & J Medical Supplies

Key facts

NPI

1427369909

Entity type

Organization (NPI type 2)

Primary specialty

Oxygen Equipment & Supplies (DME) 332BX2000X

Legal business name

V & J MEDICAL SUPPLIES

Practice address

8330 Long Beach Blvd
Suite 112
South Gate, CA 90280-2073

Phone

(323) 947-7547

Fax

(323) 973-1733

NPI assigned

Jun 29, 2010

Organization subpart

No

Authorized official

Name

Mr. Manuel Salvador Medina Jr.

Title

Owner

Phone

(323) 947-7547

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 29, 2010.

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277769600000",
    "number": "1427369909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8330 LONG BEACH BLVD",
            "address_2": "SUITE 112",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802073",
            "telephone_number": "323-947-7547",
            "fax_number": "323-973-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8330 LONG BEACH BLVD",
            "address_2": "SUITE 112",
            "city": "SOUTH GATE",
            "state": "CA",
            "postal_code": "902802073",
            "telephone_number": "323-947-7547",
            "fax_number": "323-973-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V & J MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "SALVADOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-947-7547",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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