OrganizationActive
Medical Supply Outlet, Inc.
NPI 1356520191 · Durable Medical Equipment & Medical Supplies · Inglewood, CA
Provider details
- NPI number
- 1356520191
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Geneane Haley, President(310) 671-3522
- License
- 44751 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
105 E 64th Pl
Inglewood, CA 90302-1338
Phone: (310) 671-3522
Fax: (310) 671-3622
Street-level locationGet directions
Mailing address
105 E 64th Pl
Inglewood, CA 90302-1338
Registry dates
- Enumerated
- 2007-10-29
- Last updated
- 2007-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.