West Coast Medical Distributors

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4260970001 Issued in CA

Legal business name

WEST COAST MEDICAL DISTRIBUTORS

Practice address

454 E Carson Plaza Dr
Suite 101
Carson, CA 90746-3209

Phone

(310) 516-0193

Fax

(310) 516-1981

NPI assigned

Jul 10, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alfred T Ndiforchu

Title

Owner

Phone

(310) 516-0193

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114951175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 E CARSON PLAZA DR",
            "address_2": "SUITE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463209",
            "telephone_number": "310-516-0193",
            "fax_number": "310-516-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 E CARSON PLAZA DR",
            "address_2": "SUITE 101",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463209",
            "telephone_number": "310-516-0193",
            "fax_number": "310-516-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COAST MEDICAL DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NDIFORCHU",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-516-0193",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "4260970001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Carson, CA
• Providers in Carson, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.