Adeco Medical Distributors

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103200 Issued in CA

Legal business name

ADECO MEDICAL DISTRIBUTORS

Practice address

4770 W 137TH PL Ste C
Hawthorne, CA 90250-6808

Phone

(310) 644-2129

Fax

(310) 644-2729

NPI assigned

Aug 14, 2006

Last updated

Jun 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adeline Ekwebelem

Title

Ceo

Phone

(310) 644-2129

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1508879511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 W 137TH PL STE C",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506808",
            "telephone_number": "310-644-2129",
            "fax_number": "310-644-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 W 137TH PL STE C",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902506808",
            "telephone_number": "310-644-2129",
            "fax_number": "310-644-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADECO MEDICAL DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "EKWEBELEM",
        "authorized_official_first_name": "ADELINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-644-2129"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "103200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Hawthorne, CA
• Providers in Hawthorne, 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 13, 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.