Medpac Medical Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

52010 Issued in CA

Legal business name

MEDPAC MEDICAL INC

Practice address

14623 Hawthorne Blvd Ste 308
Lawndale, CA 90260-1590

Phone

(310) 676-1400

NPI assigned

Jun 6, 2009

Organization subpart

No

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

Authorized official

Name

Gideon Nwanisiobi

Title

President

Phone

(310) 676-1400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1497981260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD STE 308",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601590",
            "telephone_number": "310-676-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14623 HAWTHORNE BLVD STE 308",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601590",
            "telephone_number": "310-676-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPAC MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-06",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "NWANISIOBI",
        "authorized_official_first_name": "GIDEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-676-1400"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "52010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sainu Mathew
• Jennifer Nicole Maxie, LVN
• Larry D McKnight, PA
• Medical Legal Experts
• Medical Legal Experts Mle
• Gracie Medrano
• Joel Mendez
• Ramona Maria Merchan
• Sonya Lannire Merideth, R.D.H.
• Isaac Merino, D.C.

• 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 May 17, 2010; 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.