Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vital Medical Supply Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1669601415

Vital Medical Supply Inc is a Durable Medical Equipment & Medical Supplies in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4515 Eagle Rock Blvd Ste 145C
Los Angeles, CA 90041-3214
Phone: (323) 550-8888
Fax: (323) 550-8881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 002197618 (CA)

Record details

NPI number1669601415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jose Gaviola — President · (323) 550-8888
NPI enumeratedJuly 14, 2009
Last updated in NPPESJuly 14, 2009
Mailing address4515 Eagle Rock Blvd., Suite 145c, Los Angeles, CA 90041-3214

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