Organization Active NPI

Adelco Medical Distributors Inc

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1750326096
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
101427 Issued in CA
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

Updated by the provider on Apr 15, 2008

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.