Organization Active NPI

Banky Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1497783492
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103110 Issued in CA
Legal business name
BANKY MEDICAL SUPPLY INC
Practice address
6824 La Tijera Blvd
Unit #3
Los Angeles, CA 90045-1924
Phone
(310) 645-5877
Fax
(310) 338-0160
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Mr. Leke Adesina
Title
President
Phone
(310) 645-5877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103110 CA Primary

Addresses

Primary practice location

6824 La Tijera Blvd
Unit #3
Los Angeles, CA 90045-1924

Mailing address

6824 La Tijera Blvd
Unit #3
Los Angeles, CA 90045-1924
Phone (310) 645-5877

National Provider Directory

National Provider Directory

Locations

6824 La Tijera Blvd
Ste 3
Los Angeles, CA 90045
Phone (310) 645-5877

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1497783492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 LA TIJERA BLVD",
            "address_2": "UNIT #3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451924",
            "telephone_number": "310-645-5877",
            "fax_number": "310-338-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6824 LA TIJERA BLVD",
            "address_2": "UNIT #3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900451924",
            "telephone_number": "310-645-5877",
            "fax_number": "310-338-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANKY MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "ADESINA",
        "authorized_official_first_name": "LEKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-645-5877",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103110",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 10, 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.