Osekh-Ed Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103714 Issued in CA

Legal business name

OSEKH-ED CORPORATION

Doing business as

Devine Angel Medical Supplies

Practice address

17727 Vanowen St
Reseda, CA 91335-5602

Phone

(818) 654-9899

Fax

(818) 654-9891

NPI assigned

Oct 19, 2006

Last updated

Jan 14, 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

Victor Osekhodion Edo

Title

President

Phone

(818) 654-9899

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Devine Angel Medical Supplies Doing business as

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1437231487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17727 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355602",
            "telephone_number": "818-654-9899",
            "fax_number": "818-654-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17727 VANOWEN ST",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913355602",
            "telephone_number": "818-654-9899",
            "fax_number": "818-654-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSEKH-ED CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "EDO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OSEKHODION",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-654-9899"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03375F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devine Angel Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Reseda, CA
• Providers in Reseda, 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 Jan 14, 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.