Iroegbu B. Achara
Individual provider Active NPI Durable Medical Equipment & Medical Supplies · Lancaster, CA
NPI 1497904635 · NPPES record last updated Nov 18, 2008
Key facts
- NPI
- 1497904635
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- License
- 45517 (CA)
- Practice address
- 44300 Division St
Suite B
Lancaster, CA 93535-3512 - Phone
- (661) 974-8307
- Fax
- (661) 974-8308
- NPI assigned
- Sep 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45517 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Medical Supply | Durable Medical Equipment & Medical Supplies | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 45517 | CA | Yes |
Addresses
Primary practice location
44300 Division St
Suite B
Lancaster, CA 93535-3512
Mailing address
38713 Tierra Subida Ave
Suite 200-192
Palmdale, CA 93551-4562
Phone (661) 974-8307
Other providers in Lancaster, CA
- Angela Acain
- Access Imaging, LLC
- Grace Angeles Acdan
- Daniel T. Acebedo
- Kelly Acevedo Maldonado
- Iliana Rubi Acosta Fernandez
- Dana Acosta Zepeda
- Angelina Justina Acosta
- Bernadeth Joy Acosta
- Gabriela Acosta
All providers in Lancaster, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.