Organization Active NPI

Galway Trading LLC

Doing business as Conni

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1508258450
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
201214410215 Issued in CA
Legal business name
GALWAY TRADING LLC
Doing business as
Conni
Practice address
13101 W Washington Blvd
#433
Los Angeles, CA 90066-5131
Phone
(800) 794-0763
NPI assigned
Mar 2, 2015
Last updated
Mar 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Authorized official

Name
Mr. Bertrand Haure
Title
President
Phone
(800) 794-0763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 201214410215 CA Primary

Addresses

Primary practice location

13101 W Washington Blvd
#433
Los Angeles, CA 90066-5131

Mailing address

13101 W Washington Blvd
#433
Los Angeles, CA 90066-5131
Phone (800) 794-0763

Other names 1

  • Conni Doing business as

National Provider Directory

National Provider Directory

Locations

13101 W Washington Blvd
#433
Los Angeles, CA 90066
Phone (800) 794-0763

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425254400000",
    "number": "1508258450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD",
            "address_2": "#433",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665131",
            "telephone_number": "800-794-0763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13101 W WASHINGTON BLVD",
            "address_2": "#433",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900665131",
            "telephone_number": "800-794-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALWAY TRADING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A",
        "authorized_official_last_name": "HAURE",
        "authorized_official_first_name": "BERTRAND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-794-0763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "201214410215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conni",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 2, 2015; 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.