Organization Active NPI

Abraham Medical Suppl Company

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1083684963
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ABRAHAM MEDICAL SUPPL COMPANY
Practice address
15223 S Western Ave
Gardena, CA 90249
Phone
(310) 324-2492
Fax
(310) 324-2517
NPI assigned
Jan 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Christopher Ejimofor Chude
Title
President
Phone
(310) 324-2492

Specialties & licenses 1

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

Addresses

Primary practice location

15223 S Western Ave
Gardena, CA 90249

Mailing address

15223 S Western Ave
Gardena, CA 90249
Phone (310) 324-2492

National Provider Directory

National Provider Directory

Locations

15223 S Western Ave
Gardena, CA 90249
Phone (310) 324-2492

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1083684963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15223 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-324-2492",
            "fax_number": "310-324-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15223 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "90249",
            "telephone_number": "310-324-2492",
            "fax_number": "310-324-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABRAHAM MEDICAL SUPPL COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "CHUDE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EJIMOFOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-324-2492"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.