Medical Supply Depot

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

44656 Issued in CA

Legal business name

MEDICAL SUPPLY DEPOT

Practice address

4846 Florence Ave
Suite #B104
Bell, CA 90201-4317

Phone

(323) 773-6522

Fax

(323) 773-8950

NPI assigned

Jun 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Norberto Purugganan Barroga

Title

President

Phone

(323) 773-6522

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1487683942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 FLORENCE AVE.",
            "address_2": "SUITE #B104",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014399",
            "telephone_number": "323-773-6522",
            "fax_number": "323-773-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4846 FLORENCE AVE",
            "address_2": "SUITE #B104",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014317",
            "telephone_number": "323-773-6522",
            "fax_number": "323-773-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SUPPLY DEPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "BARROGA",
        "authorized_official_first_name": "NORBERTO",
        "authorized_official_middle_name": "PURUGGANAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-773-6522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "44656",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 50801",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487683942",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Man Vuong-Dac,MD Inc.
• Mary S. Romo MD, Inc.
• Deborah Denise Mayes, AMFT
• Porsha McRae
• Medical Laboratory
• Margaret Medina
• Dina Rose Mejia, D.M.D.
• Noe Mejia
• Michael Abaian DDS Inc (Gage Dental Care)
• Michael Bazelyansky, MD, a Professional Medical Corporation (Bell Community Medical Group)

• Durable Medical Equipment & Medical Supplies in Bell, CA
• Providers in Bell, 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 Feb 3, 2012; 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.