Organization Name: | NTIEDO JOHNSON INYANG |
NPI Number: | 1649284589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NTIEDO JOHNSON INYANG (OWNER / CEO) |
Mailing Address: | 3139 San Pablo Ave Oakland |
State: | CA US |
Postal Code: | 946084533 |
Phone Number: | 5105958474 |
Fax Number: | 5105958410 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 07/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 103425 |
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 |