Agp Medical Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

AGP MEDICAL CORPORATION

Doing business as

Advantage 1 Medical Supply

Practice address

848 W 115TH St
Los Angeles, CA 90044-4112

Phone

(562) 492-5994

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Prof. Verretta Deorosan, M.D.

Title

Owner

Phone

(562) 492-5994

Specialties & licenses 1

Addresses

Other names 1

• Advantage 1 Medical Supply Doing business as

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922134204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 E 36TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073852",
            "telephone_number": "562-492-5994",
            "fax_number": "310-649-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 W 115TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444112",
            "telephone_number": "562-492-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGP MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEOROSAN",
        "authorized_official_first_name": "VERRETTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-492-5994",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advantage 1 Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donnie Albert Agnew
• Sarah Ashley Agnew
• Ojasvie Agnihotri, MD
• Etsemaye Paulos Agonafer, M.D., M.P.H, M.S.
• Sean Agopian, PSYD
• Nick A Agpalo, DDS
• Jonah Agra
• Samuel Agra, M.D.
• Arushi Agrawal
• Bimal Prasad Agrawal, M.D.

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.