LTD Medical Supply

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

LTD MEDICAL SUPPLY

Practice address

4315 Overland Ave
Ste B
Culver City, CA 90230-4128

Phone

(310) 202-6511

Fax

(310) 202-6027

NPI assigned

Sep 13, 2005

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ilya Meller

Title

Owner Provider

Phone

(310) 202-6511

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1518952837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 OVERLAND AVE",
            "address_2": "STE B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304128",
            "telephone_number": "310-202-6511",
            "fax_number": "310-202-6027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 OVERLAND AVE",
            "address_2": "STE B",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304128",
            "telephone_number": "310-202-6511",
            "fax_number": "310-202-6027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LTD MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MELLER",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "OWNER PROVIDER",
        "authorized_official_telephone_number": "310-202-6511",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME02572F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.