Active NPI
Daniel Chukwu
- Durable Medical Equipment & Medical Supplies
- Hawthorne, CA
National Provider Identifier
1225209372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 102873
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4809150001 | Other | CA | MEDICARE PROVIDER NUMBER |
Other names 1
- THE ANGEL MEDICAL DISTRIBUTOR
National Provider Directory
National Provider DirectoryLocations
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.