Organization Active NPI

Dextromedical LLC.

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1548779614
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DEXTROMEDICAL LLC.
Practice address
506 S Spring St Unit 13308
Los Angeles, CA 90013-3215
Phone
(323) 836-2924
NPI assigned
Sep 21, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Samy Allam
Title
Chief Clinical Operations Officer
Phone
(323) 836-2924

Specialties & licenses 1

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

Addresses

Primary practice location

506 S Spring St Unit 13308
Los Angeles, CA 90013-3215

Mailing address

506 S Spring St Unit 13308
Los Angeles, CA 90013-3215
Phone (323) 836-2924

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1505952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1548779614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 S SPRING ST UNIT 13308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900133215",
            "telephone_number": "323-836-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 S SPRING ST UNIT 13308",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900133215",
            "telephone_number": "323-836-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEXTROMEDICAL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ALLAM",
        "authorized_official_first_name": "SAMY",
        "authorized_official_title_or_position": "CHIEF CLINICAL OPERATIONS OFFICER",
        "authorized_official_telephone_number": "323-836-2924"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "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 Jul 21, 2022; 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.