Organization Active NPI

Daniel Chukwu

  • Durable Medical Equipment & Medical Supplies
  • Hawthorne, CA
National Provider Identifier
1225209372
Registry record updated Sep 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
102873 Issued in CA
Legal business name
DANIEL CHUKWU
Practice address
14023 Crenshaw Blvd
Suite 4
Hawthorne, CA 90250-9255
Phone
(310) 675-4666
Fax
(310) 675-4004
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2008

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

Authorized official

Name
Daniel Chukwu
Title
Owner
Phone
(310) 675-4666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 102873 CA Primary

Addresses

Primary practice location

14023 Crenshaw Blvd
Suite 4
Hawthorne, CA 90250-9255

Mailing address

14023 Crenshaw Blvd
Suite 4
Hawthorne, CA 90250-9255
Phone (310) 675-4666

Other identifiers 1

IdentifierTypeStateIssuer
4809150001OtherCAMEDICARE PROVIDER NUMBER

Other names 1

  • THE ANGEL MEDICAL DISTRIBUTOR Doing business as

National Provider Directory

National Provider Directory

Locations

14023 Crenshaw Blvd
Ste 4
Hawthorne, CA 90250
Phone (310) 675-4666

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221091200000",
    "number": "1225209372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14023 CRENSHAW BLVD",
            "address_2": "SUITE 4",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902509255",
            "telephone_number": "310-675-4666",
            "fax_number": "310-675-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14023 CRENSHAW BLVD",
            "address_2": "SUITE 4",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902509255",
            "telephone_number": "310-675-4666",
            "fax_number": "310-675-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL CHUKWU",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-09-11",
        "status": "A",
        "authorized_official_last_name": "CHUKWU",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-675-4666"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER NUMBER",
            "identifier": "4809150001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE ANGEL MEDICAL DISTRIBUTOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.