Chukwuebunie Jiagbogu

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45061 Issued in CA

Legal business name

CHUKWUEBUNIE JIAGBOGU

Doing business as

Long Life Medical Supply

Practice address

428 W Manchester Blvd
Inglewood, CA 90301-1110

Phone

(310) 671-5252

Fax

(310) 671-5297

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Chukwuebunie M Jiagbogu

Title

Ceo/Owner

Phone

(310) 671-5252

Specialties & licenses 1

Addresses

Other names 1

• Long Life Medical Supply Doing business as

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1457375800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011110",
            "telephone_number": "310-671-5252",
            "fax_number": "310-671-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 W MANCHESTER BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903011110",
            "telephone_number": "310-671-5252",
            "fax_number": "310-671-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUKWUEBUNIE JIAGBOGU",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "JIAGBOGU",
        "authorized_official_first_name": "CHUKWUEBUNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-671-5252",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Life Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Chong, PHARM.D
• Sandra Chou, OD
• Sheryl Lynn Chow, PHARMD
• Eugene Christian, EUGENE CHRISTIAN
• John Ryan Christiansen, OD
• Clarence M. Hyshaw M.D., Inc.
• Alaysia Clark
• Enisha Clark
• Evelyn S Clark
• Tanisha Lejon Clark

• Durable Medical Equipment & Medical Supplies in Inglewood, CA
• Providers in Inglewood, 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 24, 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.