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General NPI Number Information
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NPI Number | 1427031103
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Entity Type | Organization
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Legal Business Name | L A MEDICAL SUPPLY INC
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 10/17/2011
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Provider Practice Location Address
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Address Line | 966 S WESTERN AVE 104
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City | LOS ANGELES
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State | CA
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Zip | 90006-1013
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Country | US
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Telephone | 323-734-4800
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Fax | 373-734-0941
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Provider Business Mailing Address
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Address Line | 966 S WESTERN AVE 104
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City | LOS ANGELES
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State | CA
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Zip | 90006-1013
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Country | US
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Telephone | 323-734-4800
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Fax | 373-734-0941
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Authorized Official
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Title or Position | CEO
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Name | CHUN H KIM
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Credential |
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Telephone | 323-734-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1127780001
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License Number State | CA
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