Essence Medical Supply Inc

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

332100000X Issued in CA

Legal business name

ESSENCE MEDICAL SUPPLY INC

Practice address

2630 W Manchester Blvd
Inglewood, CA 90305-2434

Phone

(323) 565-1909

Fax

(323) 565-1943

NPI assigned

Dec 14, 2009

Last updated

Dec 14, 2009By 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. Ambrose N Nwachie

Title

President

Phone

(323) 565-1909

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1144559584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052434",
            "telephone_number": "323-565-1909",
            "fax_number": "323-565-1943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903052434",
            "telephone_number": "323-565-1909",
            "fax_number": "323-565-1943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENCE MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-14",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "NWACHIE",
        "authorized_official_first_name": "AMBROSE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-565-1909",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "CA",
            "license": "332100000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.