Organization Active NPI

Galleria Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1689926719
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
GALLERIA MEDICAL SUPPLY
Practice address
3250 W Olympic Blvd
Suite 301
Los Angeles, CA 90006-2368
Phone
(323) 737-8585
Fax
(323) 737-8586
NPI assigned
Oct 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Minsu Kim
Title
President
Phone
(323) 737-8585

Specialties & licenses 1

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

Addresses

Primary practice location

3250 W Olympic Blvd
Suite 301
Los Angeles, CA 90006-2368

Mailing address

3250 W Olympic Blvd
Suite 301
Los Angeles, CA 90006-2368
Phone (323) 737-8585

National Provider Directory

National Provider Directory

Locations

3250 W Olympic Blvd
Ste 301
Los Angeles, CA 90006
Phone (323) 737-8585

NPI Registry JSON

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

{
    "created_epoch": "1350086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1689926719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 W OLYMPIC BLVD",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062368",
            "telephone_number": "323-737-8585",
            "fax_number": "323-737-8586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 W OLYMPIC BLVD",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900062368",
            "telephone_number": "323-737-8585",
            "fax_number": "323-737-8586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-13",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MINSU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-737-8585"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "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 Apr 12, 2013; 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.