Active NPI
Adelco Medical Distributors Inc
- Durable Medical Equipment & Medical Supplies
- Gardena, CA
National Provider Identifier
1750326096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 101427
- Legal business name
- ADELCO MEDICAL DISTRIBUTORS INC
- Practice address
- 15223 So .Crenshaw Blvd # B
Gardena, CA 90249-4048 - Phone
- (310) 856-4701
- Fax
- (310) 856-4705
- NPI assigned
- Jun 19, 2006
- 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
- Adeline Ekwebelem
- Title
- Ceo
- Phone
- (310) 856-4701
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 101427 | CA | Primary |
Addresses
Primary practice location
15223 So .Crenshaw Blvd # B
Gardena, CA 90249-4048
Mailing address
PO Box 895
Hawthorne, CA 90251
Phone (310) 856-4701
National Provider Directory
National Provider DirectoryLocations
15223 Crenshaw Blvd
#B
Gardena, CA 90249
Phone (310) 856-4701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208217600000",
"number": "1750326096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 895",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "90251",
"telephone_number": "310-856-4701",
"fax_number": "310-856-4705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15223 SO .CRENSHAW BLVD # B",
"city": "GARDENA",
"state": "CA",
"postal_code": "902494048",
"telephone_number": "310-856-4701",
"fax_number": "310-856-4705"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADELCO MEDICAL DISTRIBUTORS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2008-04-15",
"status": "A",
"authorized_official_last_name": "EKWEBELEM",
"authorized_official_first_name": "ADELINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "310-856-4701"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "101427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 15, 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.