Custodian Incorporation in San Pedro - Durable Medical Equipment & Medical Supplies

Custodian Incorporation - NPI 1265691562

Custodian Incorporation is a Durable Medical Equipment & Medical Supplies in San Pedro, California. Custodian Incorporation practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Custodian Incorporation is 1265691562. The last update date is 2008-10-02.

Custodian Incorporation's current location address is 1891 N Gaffey Street, San Pedro, California. You can contact this provider via phone number 3108331190 and fax number 3108331196. The mailing address for Custodian Incorporation is 1891 N Gaffey Street, San Pedro, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Custodian Incorporation
Address 1891 N Gaffey Street, San Pedro, California
Phone Number 3108331190
Fax Number 3108331196
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Sagoe Kodjo Akinola
Telephone Number 3108331190

NPI Number Detail

NPI Number 1265691562
Provider Enumeration Date 2008-06-03
Last Updated Date 2008-10-02

Provider Mailing Address Detail

Address 1891 N Gaffey Street
City San Pedro
State California (CA)
Post Code 90731
Phone Number 3108331190
Fax Number 3108331196

Provider's Primary Taxonomy Detail

Speciality Durable Medical Equipment & Medical Supplies
Taxonomy 332B00000X
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's use in the home and that are usable for an extended period of time.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
101-092498 CA RESELLER PERMIT

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FAQs about Custodian Incorporation

What is the Custodian Incorporation's unique identification number?

The Custodian Incorporation has been assigned the NPI (National Provider Identifier) Number 1265691562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Custodian Incorporation?

The Custodian Incorporation is physically situated at 1891 N Gaffey Street, in the city of San Pedro, state of CA, with the postal code 90731.

What is Custodian Incorporation's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Custodian Incorporation is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy classification code for this specialized field is 332B00000X.

When was the Custodian Incorporation's 1265691562 issued?

The Custodian Incorporation's 1265691562 was issued on 2008-06-03.

When was the information pertaining to Custodian Incorporation most recently updated or revised?

The details related to Custodian Incorporation, including its address, specialty, and other relevant information, were last updated or revised on 2008-10-02.

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