Golden Life Medical Distributors

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46986 Issued in CA

Legal business name

GOLDEN LIFE MEDICAL DISTRIBUTORS

Practice address

11502 Hawthorne Blvd
Suite a
Hawthorne, CA 90250-2314

Phone

(310) 219-1612

Fax

(310) 219-1864

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Emmanuel Ngoka

Title

Manager

Phone

(310) 219-1612

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1336327360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11502 HAWTHORNE BLVD",
            "address_2": "SUITE A",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502314",
            "telephone_number": "310-219-1612",
            "fax_number": "310-219-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11502 HAWTHORNE BLVD",
            "address_2": "SUITE A",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502314",
            "telephone_number": "310-219-1612",
            "fax_number": "310-219-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN LIFE MEDICAL DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "NGOKA",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-219-1612"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "46986",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Soliman Girgis
• Blessy Giron, LCSW
• Rachel Leah Glozman
• Anurag Goel, MD
• Golden Harvest Care Homes, LLC
• Makina Lenee' Golston
• Maricela Gomez, IBCLC
• Andrea Gonzales, RD
• Leila Pedrosa Gonzales, DDS
• Aliza Gonzalez

• 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 Apr 29, 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.