Boniface Tsobnang

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

43109 Issued in CA

Practice address

3700 Wilshire Blvd
Suite 1010
Los Angeles, CA 90010-2901

Phone

(213) 365-9612

Fax

(213) 365-9441

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ludumes

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1053332981
  NPD (past) Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780604264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10125 PALMS BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900343800",
            "telephone_number": "310-204-3425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WILSHIRE BLVD",
            "address_2": "SUITE 1010",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102901",
            "telephone_number": "213-365-9612",
            "fax_number": "213-365-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSOBNANG",
        "first_name": "BONIFACE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelo Tsirbas, OD
• Marina Tsisin, CRNA
• Alexandra Tsitsuashvili, CLC
• David Tamazovich Tsitsuashvili, MS
• Earl Tso, M.D.
• Jason Tsoi, MD
• Aram Tsolakyan, D.D.S.
• Kayla Alexis Tsongas, LCSW
• Angelique Tsontos, LCSW
• Paul Tsou, MD

• 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.