Active NPI
Medical Supply Center
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1992725410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 100574
- Legal business name
- MEDICAL SUPPLY CENTER
- Practice address
- 4870 Santa Monica Blvd.
Los Angeles, CA 90029 - Phone
- (323) 666-1185
- Fax
- (323) 852-4936
- NPI assigned
- Jul 20, 2006
- 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
- Mrs. Maya Stolpner
- Title
- Partner
- Phone
- (323) 666-1185
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 100574 | CA | Primary |
Addresses
Primary practice location
4870 Santa Monica Blvd.
Los Angeles, CA 90029
Mailing address
PO Box 931450
Los Angeles, CA 90093-1450
Phone (323) 666-1185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6617827 | Other | CA | MEDICAL |
National Provider Directory
National Provider DirectoryLocations
213 S Robertson Blvd
Beverly Hills, CA 90211
Phone (310) 289-0332
4870 Santa Monica Blvd
Los Angeles, CA 90029
Phone (310) 289-0332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381708800000",
"number": "1992725410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 931450",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900931450",
"telephone_number": "323-666-1185",
"fax_number": "323-852-4936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4870 SANTA MONICA BLVD.",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90029",
"telephone_number": "323-666-1185",
"fax_number": "323-852-4936"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SUPPLY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2013-10-14",
"status": "A",
"authorized_official_last_name": "STOLPNER",
"authorized_official_first_name": "MAYA",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "323-666-1185",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "100574",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL",
"identifier": "6617827",
"state": "CA"
}
],
"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 Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.