Organization Active NPI

Duru Medical Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1447408620
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50332 Issued in CA
Legal business name
DURU MEDICAL SUPPLIES, INC.
Practice address
1704 W Manchester Ave
Suite 207E
Los Angeles, CA 90047-3077
Phone
(323) 789-6100
Fax
(323) 759-0440
NPI assigned
Aug 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Iyke Duru
Title
Managing Director
Phone
(323) 789-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50332 CA Primary

Addresses

Primary practice location

1704 W Manchester Ave
Suite 207E
Los Angeles, CA 90047-3077

Mailing address

1704 W Manchester Ave
Suite 207E
Los Angeles, CA 90047-3077
Phone (323) 789-6100

Other identifiers 1

IdentifierTypeStateIssuer
101-121936OtherCASELLER'S PERMIT

National Provider Directory

National Provider Directory

Locations

1704 W Manchester Ave
Ste 207E
Los Angeles, CA 90047
Phone (323) 789-6100

NPI Registry JSON

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

{
    "created_epoch": "1220054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1447408620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE",
            "address_2": "SUITE 207E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473077",
            "telephone_number": "323-789-6100",
            "fax_number": "323-759-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 W MANCHESTER AVE",
            "address_2": "SUITE 207E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900473077",
            "telephone_number": "323-789-6100",
            "fax_number": "323-759-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURU MEDICAL SUPPLIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-30",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "DURU",
        "authorized_official_first_name": "IYKE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "323-789-6100"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELLER'S PERMIT",
            "identifier": "101-121936",
            "state": "CA"
        }
    ],
    "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 May 5, 2010; 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.