Medwest Orthopedics Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

309960 Issued in CA

Legal business name

MEDWEST ORTHOPEDICS INC

Practice address

811 N Catalina Ave
Suite 200
Redondo Beach, CA 90277-2133

Phone

(310) 798-1914

Fax

(310) 376-2748

NPI assigned

May 24, 2007

Organization subpart

No

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

Authorized official

Name

Brent Krulac, CFO

Title

Ceo

Phone

(310) 920-9768

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Krulac

  • Speech-Language Assistant
  • Redondo Beach, CA
  • NPI 1013128370
  NPD (past)

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699986372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3531",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771531",
            "telephone_number": "310-798-1914",
            "fax_number": "310-376-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 N CATALINA AVE",
            "address_2": "SUITE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902772133",
            "telephone_number": "310-798-1914",
            "fax_number": "310-376-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWEST ORTHOPEDICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRULAC",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-920-9768",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "309960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Redondo Beach, CA
• Providers in Redondo Beach, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.