St Monica Medical

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

332B00000X Issued in CA

Legal business name

ST MONICA MEDICAL

Practice address

14015 Van Ness Ave
7
Gardena, CA 90249-2937

Phone

(310) 538-9292

NPI assigned

Oct 11, 2006

Last updated

Nov 26, 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

Edith I Chuke

Title

Manager

Phone

(310) 538-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1649369513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 VAN NESS AVE",
            "address_2": "7",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492937",
            "telephone_number": "310-538-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 VAN NESS AVE",
            "address_2": "7",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492937",
            "telephone_number": "310-538-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MONICA MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "CHUKE",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "310-538-9292"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "332B00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• St. Michael's Neurology Medical Corp
• Axel Sta Maria

• 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 Nov 26, 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.