Stanley N. Igboakaeze

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103577 Issued in CA

Legal business name

STANLEY N. IGBOAKAEZE

Doing business as

Divine Concept International

Practice address

15342 Hawthorne Blvd
Suite 206
Lawndale, CA 90260-2192

Phone

(310) 349-8346

Fax

(310) 988-2194

NPI assigned

Oct 19, 2005

Last updated

Feb 20, 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

Mr. Stanley N Igboakaeze

Title

Owner

Phone

(310) 349-8346

Specialties & licenses 1

Addresses

Other names 1

• DIVINE CONCEPT INTERNATIONAL Doing business as

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1447249818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15342 HAWTHORNE BLVD",
            "address_2": "SUITE 206",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602192",
            "telephone_number": "310-349-8346",
            "fax_number": "310-988-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15342 HAWTHORNE BLVD",
            "address_2": "SUITE 206",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902602192",
            "telephone_number": "310-349-8346",
            "fax_number": "310-988-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY N. IGBOAKAEZE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "IGBOAKAEZE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-349-8346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DIVINE CONCEPT INTERNATIONAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Lawndale, CA
• Providers in Lawndale, 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 20, 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.