NPI Code Detail JSON Logo

1922737675 NPI number — LOMA MEDICAL SUPPLY INC

NPI Number: 1922737675
Health Care Provider/Practitioner: LOMA MEDICAL SUPPLY INC

Information about “1922737675” NPI (LOMA MEDICAL SUPPLY INC) exists in 1922737675 in HTML format HTML  |  1922737675 in plain Text format TXT  |  1922737675 in PDF (Portable Document Format) PDF  |  1922737675 in an XML format XML  formats.

NPI Number : 1922737675 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922737675",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "LOMA MEDICAL SUPPLY INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3065 ROSECRANS PL STE 210A",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN DIEGO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92110-4820",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-888-7215",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3065 ROSECRANS PL STE 210A",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN DIEGO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92110-4820",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "619-888-7215",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "06/08/2022",
    "LastUpdateDate": "06/08/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "DE ANDA",
    "AuthorizedOfficialFirstName": "CHRISTIAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "619-888-7215",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "332B00000X",
        "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.