Lemongo Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

47429 Issued in CA

Legal business name

LEMONGO MEDICAL SUPPLY

Practice address

111 N la Brea Ave
Ste 601
Inglewood, CA 90301-1752

Phone

(310) 672-8782

NPI assigned

Aug 28, 2007

Last updated

Jun 11, 2008By 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. Eric Lemongo

Title

Owner

Phone

(310) 672-8782

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1437343936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N LA BREA AVE",
            "address_2": "STE 601",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011752",
            "telephone_number": "310-672-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N LA BREA AVE",
            "address_2": "STE 601",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011752",
            "telephone_number": "310-672-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMONGO MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "LEMONGO",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-672-8782",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "47429",
            "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 Jun 11, 2008; 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.