Gibraltar Healthcare Supplies LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102720 Issued in CA

Legal business name

GIBRALTAR HEALTHCARE SUPPLIES LLC

Practice address

22141 Ventura Blvd Ste 300
Woodland Hills, CA 91364-5734

Phone

(818) 880-4600

Fax

(818) 880-4610

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nkem Ezeuka

Title

Administrator/Coo

Phone

(818) 348-8911

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1346390762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8656",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913728656",
            "telephone_number": "818-880-4600",
            "fax_number": "818-880-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22141 VENTURA BLVD STE 300",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913645734",
            "telephone_number": "818-880-4600",
            "fax_number": "818-880-4610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIBRALTAR HEALTHCARE SUPPLIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "EZEUKA",
        "authorized_official_first_name": "NKEM",
        "authorized_official_title_or_position": "ADMINISTRATOR/COO",
        "authorized_official_telephone_number": "818-348-8911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Babak Ghorbanian
• Ghorbanian, DDS, Inc (Woodland Hills Dental Specialists/Aava Dental of Woodland Hills)
• Alla Ghukasyan
• Edward John Giaquinto Jr., PH.D.
• Katelyn Anne Giboney, B.C.B.A.
• Gibraltar Home Health Services, LLC
• Gibraltar Hospice Inc
• Nolan Michael Giehl, M.D.
• Krista Giffin, AMFT
• Maira Gil

• Durable Medical Equipment & Medical Supplies in Woodland Hills, CA
• Providers in Woodland Hills, 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 Feb 23, 2024; 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.