Organization Name: | KRYSTAL HOPE MEDICAL, INC |
NPI Number: | 1740552868 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMECHI OBODOAGHA (CEO/OWNER) |
Mailing Address: | 15665 Hawthorne Blvd Suite # C Lawndale |
State: | CA US |
Postal Code: | 902602658 |
Phone Number: | 4246461317 |
Fax Number: | 3106714300 |
NPI Enumeration Date: | 02/06/2012 |
NPI Last Update Date: | 02/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |