Organization Active NPI

Magnolia Care Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Downey, CA
National Provider Identifier
1740432194
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
49998 Issued in CA
Legal business name
MAGNOLIA CARE MEDICAL SUPPLY
Practice address
8730 Imperial Hwy
Downey, CA 90242-3906
Phone
(562) 923-5600
Fax
(562) 923-5667
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Miss Diana Lynn Love
Title
General Manager
Phone
(562) 923-5600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 49998 CA Primary

Addresses

Primary practice location

8730 Imperial Hwy
Downey, CA 90242-3906

Mailing address

8730 Imperial Hwy
Downey, CA 90242-3906
Phone (562) 923-5600

Other identifiers 2

IdentifierTypeStateIssuer
49998OtherCAHOME MEDICAL RETAILER LICENSE
253172OtherCABUSINESS REGISTRATION

National Provider Directory

National Provider Directory

Locations

8730 Imperial Hwy
Downey, CA 90242
Phone (562) 923-5600

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1740432194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8730 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423906",
            "telephone_number": "562-923-5600",
            "fax_number": "562-923-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8730 IMPERIAL HWY",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902423906",
            "telephone_number": "562-923-5600",
            "fax_number": "562-923-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGNOLIA CARE MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "562-923-5600",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "49998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME MEDICAL RETAILER LICENSE",
            "identifier": "49998",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS REGISTRATION",
            "identifier": "253172",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downey, CA

Sources for this page

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