Organization Active NPI

Ekong Medical Corporation

  • Specialist
  • Lancaster, CA
National Provider Identifier
1790790665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EKONG MEDICAL CORPORATION
Practice address
43860 N. 10TH St. West
Lancaster, CA 93534-4936
Phone
(661) 726-3060
Fax
(661) 726-3082
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Hari Chandran
Title
Business Manager
Phone
(661) 726-3058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

43860 N. 10TH St. West
Lancaster, CA 93534-4936

Mailing address

43847 Heaton Ave
Lancaster, CA 93534-4936
Phone (661) 726-3058

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790790665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43847 HEATON AVE",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344936",
            "telephone_number": "661-726-3058",
            "fax_number": "661-726-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43860 N. 10TH ST. WEST",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344936",
            "telephone_number": "661-726-3060",
            "fax_number": "661-726-3082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EKONG MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDRAN",
        "authorized_official_first_name": "HARI",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "661-726-3058",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, CA

Sources for this page

  • 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.