Active NPI
Mobis Medical Supply & Distributors Inc.
- Durable Medical Equipment & Medical Supplies
- Gardena, CA
National Provider Identifier
1609859131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 6120470001
- Legal business name
- MOBIS MEDICAL SUPPLY & DISTRIBUTORS INC.
- Doing business as
- Mobis Medical Supply & Distributors Inc.
- Practice address
- 1701 W 135TH St
Suite B
Gardena, CA 90249-2518 - Phone
- (310) 327-2285
- Fax
- (310) 327-6698
- NPI assigned
- Nov 29, 2005
- Last updated
- Oct 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Christopher A Udeoji
- Title
- President
- Phone
- (310) 327-2285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 6120470001 | CA | Primary |
Addresses
Primary practice location
1701 W 135TH St
Suite B
Gardena, CA 90249-2518
Mailing address
1701 W 135TH St
Suite B
Gardena, CA 90249-2518
Phone (310) 327-2285
Other names 1
- Mobis Medical Supply & Distributors Inc.
National Provider Directory
National Provider DirectoryLocations
1701 W 135th St
Ste B
Gardena, CA 90249
Phone (310) 327-2285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222992000000",
"number": "1609859131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 W 135TH ST",
"address_2": "SUITE B",
"city": "GARDENA",
"state": "CA",
"postal_code": "902492518",
"telephone_number": "310-327-2285",
"fax_number": "310-327-6698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 W 135TH ST",
"address_2": "SUITE B",
"city": "GARDENA",
"state": "CA",
"postal_code": "902492518",
"telephone_number": "310-327-2285",
"fax_number": "310-327-6698"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBIS MEDICAL SUPPLY & DISTRIBUTORS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-29",
"last_updated": "2008-10-03",
"status": "A",
"authorized_official_last_name": "UDEOJI",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-327-2285",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "6120470001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mobis Medical Supply & Distributors Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.