NPIMap

Organization Active NPI

Prime Choice Home Medical Supplies Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1437178506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PRIME CHOICE HOME MEDICAL SUPPLIES INC
Practice address
5250 W Century Blvd
Suite 321
Los Angeles, CA 90045-5972
Phone
(310) 770-4771
Fax
(310) 337-1180
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Amsale Mamo
Title
Owner
Phone
(310) 770-4771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5250 W Century Blvd
Suite 321
Los Angeles, CA 90045-5972

Mailing address

5250 W Century Blvd
Suite 321
Los Angeles, CA 90045-5972
Phone (310) 770-4771

National Provider Directory

National Provider Directory

Locations

5250 W Century Blvd
Ste 321
Los Angeles, CA 90045
Phone (310) 770-4771

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437178506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD",
            "address_2": "SUITE 321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455972",
            "telephone_number": "310-770-4771",
            "fax_number": "310-337-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W CENTURY BLVD",
            "address_2": "SUITE 321",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455972",
            "telephone_number": "310-770-4771",
            "fax_number": "310-337-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME CHOICE HOME MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMO",
        "authorized_official_first_name": "AMSALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-770-4771"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • 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.