Organization Active NPI

Diagon Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1619860079
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
DIAGON MEDICAL SUPPLY
Practice address
850 Colorado Blvd Ste 205
Los Angeles, CA 90041-1733
Phone
(818) 369-7848
Fax
(818) 671-3521
NPI assigned
Jun 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Dr. Aaron I-Lung Jeng, MD
Title
Ceo
Phone
(626) 786-1343

Specialties & licenses 1

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

Addresses

Primary practice location

850 Colorado Blvd Ste 205
Los Angeles, CA 90041-1733

Mailing address

850 Colorado Blvd Ste 205
Los Angeles, CA 90041-1733
Phone (818) 369-7848

National Provider Directory

National Provider Directory

Locations

850 Colorado Blvd
Ste 205
Los Angeles, CA 90041
Phone (818) 369-7848

NPI Registry JSON

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1619860079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 COLORADO BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411733",
            "telephone_number": "818-369-7848",
            "fax_number": "818-671-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 COLORADO BLVD STE 205",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411733",
            "telephone_number": "818-369-7848",
            "fax_number": "818-671-3521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGON MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "JENG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "I-LUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-786-1343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "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 Jun 2, 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.