Pacific Mededge Inc

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

103809 Issued in CA

Legal business name

PACIFIC MEDEDGE INC

Practice address

18311 S.Western Avenue
Torrance, CA 90248

Phone

(310) 532-6247

Fax

(310) 532-6841

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hamid Shiwoku

Title

Operations Manager

Phone

(310) 532-6247

Specialties & licenses 1

Addresses

Other names 1

• pacific mededge medical services # supplies Doing business as

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467498477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18311 S.WESTERN AVENUE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "310-532-6247",
            "fax_number": "310-532-6841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18311 S.WESTERN AVENUE",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "90248",
            "telephone_number": "310-532-6247",
            "fax_number": "310-532-6841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC MEDEDGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SHIWOKU",
        "authorized_official_first_name": "HAMID",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "310-532-6247",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "CA",
            "license": "103809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pacific mededge medical services # supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rachel Azucena Padilla Jenkins, MS - LMFT

• Oxygen Equipment & Supplies (DME) in Torrance, CA
• Providers in Torrance, CA by specialty
• Oxygen Equipment & Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.