Amen Medical Supplies & Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103799 Issued in CA

Legal business name

AMEN MEDICAL SUPPLIES & SERVICES

Practice address

1383 Redondo Ave
Suite 104
Long Beach, CA 90804-2895

Phone

(562) 494-3379

Fax

(562) 494-3389

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ibrahim Bangura

Title

Owner

Phone

(562) 494-3379

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1356350557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 REDONDO AVE",
            "address_2": "SUITE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042895",
            "telephone_number": "562-494-3379",
            "fax_number": "562-494-3389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 REDONDO AVE",
            "address_2": "SUITE 104",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908042895",
            "telephone_number": "562-494-3379",
            "fax_number": "562-494-3389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEN MEDICAL SUPPLIES & SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "BANGURA",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-494-3379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Ambrose, DC
• Matthew Brett Ambrose
• Nelky Awilda Ambrose, RN, BSN
• Roy Gene Ambrose
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• Durable Medical Equipment & Medical Supplies in Long Beach, CA
• Providers in Long Beach, 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 Jun 13, 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.