Doctor Name: | MR. HAKEEM AGBABIAKA |
NPI Number: | 1194759167 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 103358 |
Business Practice Address: | 3311 W Manchester Blvd Suite 104 Inglewood, CA - 903052353 |
Business Phone Number: | 3237511140 |
Business Fax Number: | 3237511136 |
Mailing Address: | 3311 W Manchester Blvd, Suite 104 INGLEWOOD |
State: | CA |
Postal Code: | 903052353 |
Phone Number: | 3237511140 |
Fax Number: | 3237511136 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 10/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 103358 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |