Organization Active NPI

Quality Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1790922375
Registry record updated Jan 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
50698 Issued in CA
Legal business name
QUALITY MEDICAL SUPPLY
Practice address
711 S Vermont Ave Ste 115
Los Angeles, CA 90005-1587
Phone
(213) 384-8300
NPI assigned
Jan 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2009

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

Authorized official

Name
Mario Medina
Title
Co-Owner
Phone
(818) 406-6499

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 50698 CA Primary

Addresses

Primary practice location

711 S Vermont Ave Ste 115
Los Angeles, CA 90005-1587

Mailing address

711 S Vermont Ave Ste 115
Los Angeles, CA 90005-1587
Phone (213) 384-8300

National Provider Directory

National Provider Directory

Locations

711 S Vermont Ave
Ste 115
Los Angeles, CA 90005
Phone (213) 384-8300

NPI Registry JSON

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

{
    "created_epoch": "1232323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1790922375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 S VERMONT AVE STE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051587",
            "telephone_number": "213-384-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 S VERMONT AVE STE 115",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900051587",
            "telephone_number": "213-384-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-19",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "818-406-6499"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; 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.