Organization Active NPI

Ibon, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Carson, CA
National Provider Identifier
1609045103
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
48846 Issued in CA
Legal business name
IBON, INC.
Practice address
550 E Carson Plaza Dr
Suite 107
Carson, CA 90746-3229
Phone
(310) 515-1582
Fax
(310) 515-1583
NPI assigned
Feb 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Obiageli B. Agbu
Title
President
Phone
(310) 515-1582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 48846 CA Primary

Addresses

Primary practice location

550 E Carson Plaza Dr
Suite 107
Carson, CA 90746-3229

Mailing address

550 E Carson Plaza Dr
Suite 107
Carson, CA 90746-3229
Phone (310) 515-1582

National Provider Directory

National Provider Directory

Locations

550 E Carson Plaza Dr
Ste 107
Carson, CA 90746
Phone (310) 515-1582

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1609045103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR",
            "address_2": "SUITE 107",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463229",
            "telephone_number": "310-515-1582",
            "fax_number": "310-515-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR",
            "address_2": "SUITE 107",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463229",
            "telephone_number": "310-515-1582",
            "fax_number": "310-515-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "AGBU",
        "authorized_official_first_name": "OBIAGELI",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-515-1582"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "48846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.