Western Imperial Medical Distributors

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

4270040001 Issued in CA

Legal business name

WESTERN IMPERIAL MEDICAL DISTRIBUTORS

Practice address

2930 W Imperial Hwy
Suite 200Q
Inglewood, CA 90303-3143

Phone

(323) 755-0148

Fax

(323) 755-5555

NPI assigned

Jun 26, 2006

Last updated

Aug 22, 2020By 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

Mr. Yakubu Damako

Title

Owner

Phone

(323) 755-0148

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639106685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 WEST IMPERIAL HWY",
            "address_2": "SUITE 200Q",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "90303",
            "telephone_number": "323-755-0148",
            "fax_number": "323-755-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 W IMPERIAL HWY",
            "address_2": "SUITE 200Q",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903033143",
            "telephone_number": "323-755-0148",
            "fax_number": "323-755-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN IMPERIAL MEDICAL DISTRIBUTORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAMAKO",
        "authorized_official_first_name": "YAKUBU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-755-0148",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "4270040001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Coast Cardiology Medical Group Inc.
• West Corner Medical Supply, Inc.
• Westbridge Home Health
• Westchester Dental Care
• Western Dental Services, Inc.
• Westside Connection Los Angeles
• Jessie Wetherbe, F.N.P.
• Earnestine Bernice White
• Kayla Amil White
• La Ronci Michele White

• Durable Medical Equipment & Medical Supplies in Inglewood, CA
• Providers in Inglewood, 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 22, 2020; 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.