Elite Medical Distributors

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103556 Issued in CA

Legal business name

ELITE MEDICAL DISTRIBUTORS

Practice address

4549 W Rosecrans Ave
Hawthorne, CA 90250-6935

Phone

(310) 970-9600

Fax

(310) 970-9669

NPI assigned

Feb 13, 2006

Last updated

Mar 28, 2008By 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. Nicholas O Owumi

Title

Director of Operations

Phone

(714) 323-2305

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206662400000",
    "number": "1184698631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4549 W ROSECRANS AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506935",
            "telephone_number": "310-970-9600",
            "fax_number": "310-970-9669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4549 W ROSECRANS AVE",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506935",
            "telephone_number": "310-970-9600",
            "fax_number": "310-970-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-03-28",
        "status": "A",
        "authorized_official_last_name": "OWUMI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "714-323-2305",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tony Egujie
• Ehab F. Ismail,Inc
• Bahar Ehfad, PHD
• Edmond N Ekwegh, COUNSELOR
• Cherrise L Elijah, LCSW
• Elite Vitality Wellness, Nursing Professional Corporation
• Alyice Rhnee Elster
• Marcel Emerson, PPS
• Celen Onyebuchi Emeruwa-Burt, LMFT
• Ashley Nicole Engelbert, PT, DPT

• Durable Medical Equipment & Medical Supplies in Hawthorne, CA
• Providers in Hawthorne, 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 Mar 28, 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.