Active NPI
M & D Medical Supply Inc.
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1962675256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 48971
- Legal business name
- M & D MEDICAL SUPPLY INC.
- Practice address
- 5250 W Century Blvd
Suite 304
Los Angeles, CA 90045-5972 - Phone
- (310) 467-1950
- Fax
- (310) 337-1180
- NPI assigned
- Apr 8, 2008
- 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
- Amsale Mamo
- Title
- Owner
- Phone
- (310) 770-4771
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 48971 | CA | Primary |
Addresses
Primary practice location
5250 W Century Blvd
Suite 304
Los Angeles, CA 90045-5972
Mailing address
5250 W Century Blvd
Suite 304
Los Angeles, CA 90045-5972
Phone (310) 467-1950
National Provider Directory
National Provider DirectoryLocations
5250 W Century Blvd
Ste 304
Los Angeles, CA 90045
Phone (310) 467-1950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207612800000",
"number": "1962675256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5250 W CENTURY BLVD",
"address_2": "SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455972",
"telephone_number": "310-467-1950",
"fax_number": "310-337-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5250 W CENTURY BLVD",
"address_2": "SUITE 304",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455972",
"telephone_number": "310-467-1950",
"fax_number": "310-337-1180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M & D MEDICAL SUPPLY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-08",
"last_updated": "2008-04-08",
"status": "A",
"authorized_official_last_name": "MAMO",
"authorized_official_first_name": "AMSALE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-770-4771"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "48971",
"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 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.