Organization Active NPI

Chukwudi Nnamdi Ezeunala

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
National Provider Identifier
1043499528
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
43755 Issued in CA
Legal business name
CHUKWUDI NNAMDI EZEUNALA
Practice address
1957 W Manchester Ave
Los Angeles, CA 90047-2924
Phone
(323) 752-3031
Fax
(323) 752-3132
NPI assigned
Oct 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Chukwudi Nnamdi EzeunalaNPI 1881623593
Title
Manager
Phone
(323) 752-3031

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 43755 CA Primary

Addresses

Primary practice location

1957 W Manchester Ave
Los Angeles, CA 90047-2924

Mailing address

1957 W Manchester Ave
Los Angeles, CA 90047-2924
Phone (323) 752-3031

National Provider Directory

National Provider Directory

Locations

1957 W Manchester Ave
Los Angeles, CA 90047
Phone (323) 752-3031

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1043499528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1957 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472924",
            "telephone_number": "323-752-3031",
            "fax_number": "323-752-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1957 W MANCHESTER AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900472924",
            "telephone_number": "323-752-3031",
            "fax_number": "323-752-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUKWUDI NNAMDI EZEUNALA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-31",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "EZEUNALA",
        "authorized_official_first_name": "CHUKWUDI",
        "authorized_official_middle_name": "NNAMDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-752-3031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "43755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.