Triumph Specialties LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

TRIUMPH SPECIALTIES LLC

Doing business as

Triumph Specialties

Practice address

11100 Sepulveda Blvd # 8-519
Mission Hills, CA 91345-1131

Phone

(888) 499-5577

Fax

(888) 499-5577

NPI assigned

Oct 10, 2019

Last updated

Jan 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jesus Rubalcava

Title

President

Phone

(888) 499-5577

Specialties & licenses 1

Addresses

Other names 1

• Triumph Specialties Doing business as

Locations

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1790327732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SEPULVEDA BLVD # 8-519",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451131",
            "telephone_number": "888-499-5577",
            "fax_number": "888-499-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SEPULVEDA BLVD # 8-519",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913451131",
            "telephone_number": "888-499-5577",
            "fax_number": "888-499-5577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11000 Sepulveda Blvd # 8-519",
            "address_purpose": "LOCATION",
            "city": "Mission Hills",
            "state": "CA",
            "postal_code": "913451414",
            "country_code": "US",
            "telephone_number": "888-499-5577 x1",
            "fax_number": "888-499-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIUMPH SPECIALTIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "RUBALCAVA",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-499-5577",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triumph Specialties",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Triumph Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-Pharmacy Dispensing Site in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.