Organization Active NPI

Golden Age Medical Equipment and Supply

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1821035668
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
44989 Issued in CA
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

Updated by the provider on Apr 23, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.