Organization Active NPI

Micks Enterprises

  • Durable Medical Equipment & Medical Supplies
  • North Hollywood, CA
National Provider Identifier
1508837444
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103280 Issued in CA
Legal business name
MICKS ENTERPRISES
Practice address
13122 Sherman Way
North Hollywood, CA 91605-4645
Phone
(818) 759-1368
Fax
(818) 759-1369
NPI assigned
Jan 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mike N Nkwocha
Title
Operations Manager
Phone
(818) 759-1368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103280 CA Primary

Addresses

Primary practice location

13122 Sherman Way
North Hollywood, CA 91605-4645

Mailing address

13122 Sherman Way
North Hollywood, CA 91605-4645
Phone (818) 759-1368

National Provider Directory

National Provider Directory

Locations

13122 Sherman Way
North Hollywood, CA 91605
Phone (818) 759-1368

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1508837444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13122 SHERMAN WAY",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054645",
            "telephone_number": "818-759-1368",
            "fax_number": "818-759-1369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13122 SHERMAN WAY",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916054645",
            "telephone_number": "818-759-1368",
            "fax_number": "818-759-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICKS ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "NKWOCHA",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "818-759-1368"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.