Organization Active NPI

M & D Medical Supply Inc.

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1962675256
Registry record updated Apr 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
48971 Issued in CA
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

Updated by the provider on Apr 8, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.