Active NPI
Cynnies Medical Supply Home Equipment Co.
- Parenteral & Enteral Nutrition Supplies (DME)
- Long Beach, CA
National Provider Identifier
1861474157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- 103544 & 17854
- Legal business name
- CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO.
- Doing business as
- Cynnies Medical Supply Home Equipment Co
- Practice address
- 353 E South St
Long Beach, CA 90805-4633 - Phone
- (562) 984-0550
- Fax
- (562) 984-0552
- NPI assigned
- Nov 14, 2005
- Last updated
- Apr 28, 2009
- 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
- Mrs. Osita Ngozi Ayeni, N/A
- Title
- Managing Director
- Phone
- (562) 984-0550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | 103544 & 17854 | CA | Primary |
Addresses
Primary practice location
353 E South St
Long Beach, CA 90805-4633
Mailing address
PO Box 17894
Long Beach, CA 90807-7894
Phone (562) 984-0550
Other names 1
- CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO
National Provider Directory
National Provider DirectoryLocations
353 E South St
Long Beach, CA 90805
Phone (562) 984-0550
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240876800000",
"number": "1861474157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17894",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908077894",
"telephone_number": "562-984-0550",
"fax_number": "562-984-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 E SOUTH ST",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908054633",
"telephone_number": "562-984-0550",
"fax_number": "562-984-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-14",
"last_updated": "2009-04-28",
"status": "A",
"authorized_official_last_name": "AYENI",
"authorized_official_first_name": "OSITA",
"authorized_official_middle_name": "NGOZI",
"authorized_official_title_or_position": "MANAGING DIRECTOR",
"authorized_official_telephone_number": "562-984-0550",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "N/A"
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "CA",
"license": "103544 & 17854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CYNNIES MEDICAL SUPPLY HOME EQUIPMENT CO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.