Organization Active NPI

Pool Medical Supply Inc

  • Durable Medical Equipment & Medical Supplies
  • Ingelwood, CA
National Provider Identifier
1902372832
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
POOL MEDICAL SUPPLY INC
Practice address
323 North Prairie Ave
Suite 200
Ingelwood, CA 90301
Phone
(310) 680-0560
Fax
(310) 680-0565
NPI assigned
Oct 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Authorized official

Name
Mr. Ramin HazanyNPI 1225043185
Title
President/Owner
Phone
(310) 680-0560

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

323 North Prairie Ave
Suite 200
Ingelwood, CA 90301

Mailing address

323 North Prairie Ave
Suite 200
Ingelwood, CA 90301
Phone (310) 680-0560

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1902372832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 NORTH PRAIRIE AVE",
            "address_2": "SUITE 200",
            "city": "INGELWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-680-0560",
            "fax_number": "310-680-0565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 NORTH PRAIRIE AVE",
            "address_2": "SUITE 200",
            "city": "INGELWOOD",
            "state": "CA",
            "postal_code": "90301",
            "telephone_number": "310-680-0560",
            "fax_number": "310-680-0565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POOL MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "HAZANY",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "310-680-0560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ingelwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.