Gustino Medical Supply Co.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

102504 Issued in CA

Legal business name

GUSTINO MEDICAL SUPPLY CO.

Practice address

13998 Crenshaw Blvd
Gardena, CA 90249-2714

Phone

(310) 523-2123

Fax

(310) 523-2192

NPI assigned

Nov 3, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Augustine Okon Uwah

Title

Owner

Phone

(310) 523-2123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1598756900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13998 CRENSHAW BLVD",
            "address_2": "P.O. BOX 1588",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492714",
            "telephone_number": "310-523-2123",
            "fax_number": "310-523-2192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13998 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492714",
            "telephone_number": "310-523-2123",
            "fax_number": "310-523-2192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTINO MEDICAL SUPPLY CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "UWAH",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "OKON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-523-2123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "102504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Denise Guidry, RNC, WHCNP
• Yoanna Rosa Guillen
• Cesar Guillermo, RAS
• Nareg Gulian
• Christina Gurrola
• Alexa Bianca Gutierrez
• Andrea Gutierrez
• Britzy Gutierrez
• Cecilia Guadalupe Gutierrez, NONE
• Christine Marie Gutierrez, NURSE PRACTITIONER

• Durable Medical Equipment & Medical Supplies in Gardena, CA
• Providers in Gardena, 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 Aug 12, 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.