Active NPI
Gertrude Ihenachor
- Durable Medical Equipment & Medical Supplies
- Gardena, CA
National Provider Identifier
1407945504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 51946
- Legal business name
- GERTRUDE IHENACHOR
- Practice address
- 825 W Gardena Blvd
Gardena, CA 90247-3030 - Phone
- (310) 327-6977
- Fax
- (310) 327-6980
- NPI assigned
- Oct 12, 2006
- 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
- Gertrude Uloma Ihenachor
- Title
- Owner
- Phone
- (310) 327-6977
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 51946 | CA | Primary |
Addresses
Primary practice location
825 W Gardena Blvd
Gardena, CA 90247-3030
Mailing address
14612 S Catalina Ave
Gardena, CA 90247-3030
Phone (310) 327-6977
Other names 1
- Gerthill Medical Supply
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1407945504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14612 S CATALINA AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473030",
"telephone_number": "310-327-6977",
"fax_number": "310-327-6980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 W GARDENA BLVD",
"city": "GARDENA",
"state": "CA",
"postal_code": "902473030",
"telephone_number": "310-327-6977",
"fax_number": "310-327-6980"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERTRUDE IHENACHOR",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "IHENACHOR",
"authorized_official_first_name": "GERTRUDE",
"authorized_official_middle_name": "ULOMA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-327-6977"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "51946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Gerthill Medical Supply",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.