Active NPI
Quality Medical Supply
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1790922375
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 50698
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.