Organization Active NPI

Medical Supply Center

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1992725410
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
100574 Issued in CA
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

Updated by the provider on Oct 14, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6617827OtherCAMEDICAL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.