NPIMap

Organization Active NPI

Clarence M. Hyshaw/Mid-City Ortho & Neuro Supply

  • Durable Medical Equipment & Medical Supplies
  • Lynwood, CA
National Provider Identifier
1477669042
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
2531 Issued in CA
Legal business name
CLARENCE M. HYSHAW/MID-CITY ORTHO & NEURO SUPPLY
Practice address
3622 Martin Luther King Jr Blvd
Suite a
Lynwood, CA 90262-2607
Phone
(310) 669-9806
Fax
(310) 669-9804
NPI assigned
Aug 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Authorized official

Name
Mr. Kenon D McKinney
Title
Manager
Phone
(310) 669-9806

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 2531 CA Primary

Addresses

Primary practice location

3622 Martin Luther King Jr Blvd
Suite a
Lynwood, CA 90262-2607

Mailing address

3622 Martin Luther King Jr Blvd
Suite a
Lynwood, CA 90262-2607
Phone (310) 669-9806

National Provider Directory

National Provider Directory

Locations

3622 Martin Luther King Jr Blvd
#A
Lynwood, CA 90262
Phone (310) 669-9806

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1477669042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE A",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622607",
            "telephone_number": "310-669-9806",
            "fax_number": "310-669-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE A",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622607",
            "telephone_number": "310-669-9806",
            "fax_number": "310-669-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE M. HYSHAW/MID-CITY ORTHO & NEURO SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "KENON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-669-9806",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "2531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.