Active NPI
Chris Ngozi Ogwonuwe
Doing business as Wisdom & Kim Medical Supply Company
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
National Provider Identifier
1073530911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 4670910001
- Legal business name
- CHRIS NGOZI OGWONUWE
- Doing business as
- Wisdom & Kim Medical Supply Company
- Practice address
- 8631 Truxton Ave
Los Angeles, CA 90045-3910 - Phone
- (310) 649-5002
- Fax
- (310) 216-2874
- NPI assigned
- Jul 16, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Chris Ngozi Ogwonuwe
- Title
- President
- Phone
- (310) 649-5002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 4670910001 | CA | Primary |
Addresses
Primary practice location
8631 Truxton Ave
Los Angeles, CA 90045-3910
Mailing address
8631 Truxton Ave
Los Angeles, CA 90045-3910
Phone (310) 649-5002
Other names 1
- WISDOM & KIM MEDICAL SUPPLY COMPANY
National Provider Directory
National Provider Directory- Tax ID family
- Chris Ngozi Ogwonuwe
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Los Angeles, CA
- NPI 1538376298
Locations
8631 Truxton Ave
Los Angeles, CA 90045
Phone (310) 649-5002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1073530911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8631 TRUXTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453910",
"telephone_number": "310-649-5002",
"fax_number": "310-216-2874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8631 TRUXTON AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453910",
"telephone_number": "310-649-5002",
"fax_number": "310-216-2874"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIS NGOZI OGWONUWE",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-16",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "OGWONUWE",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "NGOZI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-649-5002",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "4670910001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "WISDOM & KIM MEDICAL SUPPLY COMPANY",
"code": "3",
"type": "Doing Business As"
}
]
}
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 25, 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.