Ideal Life California Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

IDEAL LIFE CALIFORNIA INC.

Practice address

10736 Jefferson Blvd Ste 640
Culver City, CA 90230-4933

Phone

(888) 433-2541

Fax

(416) 489-3009

NPI assigned

Jul 23, 2012

Organization subpart

No

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

Authorized official

Name

Jason Goldberg

Title

President

Phone

(888) 433-2541

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1699020024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD STE 640",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "888-433-2541",
            "fax_number": "416-489-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10736 JEFFERSON BLVD STE 640",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304933",
            "telephone_number": "888-433-2541",
            "fax_number": "416-489-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL LIFE CALIFORNIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "GOLDBERG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-433-2541"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan M Ibarra
• Chinedum Victoria Ibe
• Ugochukwu Eric Ibe
• Onyinyechi Irene Ibediro
• Emily Ibrahim, MA, CADC III
• Chidinma Ifediora
• Chioma Igbokwe-Dinneya
• Chijoke Ikegwuonu
• Chukwuemeka Kingsley Ilomuanya, APRN
• Erick Legand Im

• Durable Medical Equipment & Medical Supplies in Culver City, CA
• Providers in Culver City, 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 Jul 23, 2012; 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.