Benniemax Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5893680001 Issued in CA

Legal business name

BENNIEMAX MEDICAL SUPPLY INC

Practice address

1644 Wilshire Blvd
Suite 105
Los Angeles, CA 90017-1600

Phone

(213) 413-8508

Fax

(213) 413-8509

NPI assigned

Mar 14, 2007

Last updated

Jul 30, 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. Bethram Ikechukwu Ogoke

Title

Ceo

Phone

(213) 413-8508

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1265565428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 WILSHIRE BLVD",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171600",
            "telephone_number": "213-413-8508",
            "fax_number": "213-413-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 WILSHIRE BLVD",
            "address_2": "SUITE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171600",
            "telephone_number": "213-413-8508",
            "fax_number": "213-413-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENNIEMAX MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "OGOKE",
        "authorized_official_first_name": "BETHRAM",
        "authorized_official_middle_name": "IKECHUKWU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "213-413-8508",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "3852080001",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5893680001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharma Bennett, MFT
• Vincent J Bennett, MD
• Wayne M Bennett
• Benniemax Medical Supply Co.
• Benniemax Medical Supply Co., Inc.
• Bridget Benninger
• Robert Stradling Bennion, MD
• Benny T Productions, LLC
• Richard M Benoit, M.D.
• Rikayah Kaamil Benoit, DC

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Jul 30, 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.