Active NPI
Golden Age Medical Equipment and Supply
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1821035668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 44989
- Legal business name
- GOLDEN AGE MEDICAL EQUIPMENT AND SUPPLY
- Practice address
- 7121 W Sunset Blvd
Los Angeles, CA 90046-4411 - Phone
- (323) 876-5537
- Fax
- (323) 876-5573
- NPI assigned
- Jun 1, 2006
- 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
- Svetlana Romanchuk
- Title
- Ceo
- Phone
- (323) 876-5537
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 44989 | CA | Primary |
Addresses
Primary practice location
7121 W Sunset Blvd
Los Angeles, CA 90046-4411
Mailing address
7121 W Sunset Blvd
Los Angeles, CA 90046-4411
Phone (323) 876-5537
National Provider Directory
National Provider DirectoryLocations
7121 W Sunset Blvd
Los Angeles, CA 90046
Phone (323) 876-5537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1271980800000",
"number": "1821035668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7121 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900464411",
"telephone_number": "323-876-5537",
"fax_number": "323-876-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7121 W SUNSET BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900464411",
"telephone_number": "323-876-5537",
"fax_number": "323-876-5573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOLDEN AGE MEDICAL EQUIPMENT AND SUPPLY",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-01",
"last_updated": "2010-04-23",
"status": "A",
"authorized_official_last_name": "ROMANCHUK",
"authorized_official_first_name": "SVETLANA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "323-876-5537"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "44989",
"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 Apr 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.