TLC Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

TLC MEDICAL SUPPLIES INC

Practice address

3312 W Florence Ave Ste D
Los Angeles, CA 90043-4782

Phone

(323) 880-8104

Fax

(323) 880-8204

NPI assigned

Oct 13, 2018

Organization subpart

No

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

Authorized official

Name

Yemane Woldegabriel

Title

Owner

Phone

(323) 880-8104

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1539388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1487129714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 W FLORENCE AVE STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434782",
            "telephone_number": "323-880-8104",
            "fax_number": "323-880-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 W FLORENCE AVE STE D",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900434782",
            "telephone_number": "323-880-8104",
            "fax_number": "323-880-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-13",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-17",
        "status": "A",
        "authorized_official_last_name": "WOLDEGABRIEL",
        "authorized_official_first_name": "YEMANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-880-8104"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMEHS",
            "identifier": "DMEHS3312",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.