Nile Medical Supplies Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50980 Issued in CA

Legal business name

NILE MEDICAL SUPPLIES INC.

Practice address

2420 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-2727

Phone

(323) 293-4204

Fax

(323) 293-2851

NPI assigned

Jun 2, 2009

Last updated

Jun 2, 2009By 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. Paulos M Ayele

Title

Ceo

Phone

(323) 293-4204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1437385747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082727",
            "telephone_number": "323-293-4204",
            "fax_number": "323-293-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082727",
            "telephone_number": "323-293-4204",
            "fax_number": "323-293-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-02",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "AYELE",
        "authorized_official_first_name": "PAULOS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-293-4204",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikunj Patel MD PC
• Nikzad Nafisi Dental Corp (kiss dental care)
• Vida Nikzad, PSYD
• Leonor Guevara Nila, LCSW
• Nile Medical Supplies
• Gabriel Stephan Niles, M.D.
• Dorna Alyeshmerni Nili, MS
• Michael Adrian Nili
• Nina Mahyar Nili, LMFT
• Parissa Nili, PSYD

• 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 Jun 2, 2009; 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.