Nile Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NILE MEDICAL SUPPLIES

Practice address

2420 W Martin Luther King Jr Blvd
Los Angeles, CA 90008-2727

Phone

(323) 293-4204

Fax

(323) 293-2851

NPI assigned

Oct 6, 2006

Organization subpart

No

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

Authorized official

Name

Paulos Ayele

Title

Owner

Phone

(323) 293-4204

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1720175243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082727",
            "telephone_number": "323-293-4204",
            "fax_number": "323-293-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 W MARTIN LUTHER KING JR BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900082727",
            "telephone_number": "323-293-4204",
            "fax_number": "323-293-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILE MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "AYELE",
        "authorized_official_first_name": "PAULOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-293-4204"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tannaz Nikravesh, M.D.
• Nikunj Patel MD PC
• Nikzad Nafisi Dental Corp
• Vida Nikzad, PSYD
• Leonor Guevara Nila, LCSW
• Nile Medical Supplies Inc.
• Gabriel Stephan Niles, M.D.
• Dorna Alyeshmerni Nili, MS
• Michael Adrian Nili
• Nina Mahyar Nili, LMFT

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 16, 2008; 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.