Organization Name: | STANLEY N. IGBOAKAEZE |
NPI Number: | 1447249818 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STANLEY N IGBOAKAEZE (OWNER) |
Mailing Address: | 15342 Hawthorne Blvd Suite 206 Lawndale |
State: | CA US |
Postal Code: | 902602192 |
Phone Number: | 3103498346 |
Fax Number: | 3109882194 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 02/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 103577 |
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 |