Michael Okonkwo

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103060 Issued in CA

Legal business name

MICHAEL OKONKWO

Doing business as

Michokan Medical Supplies

Practice address

6109 S Western Ave Ste 201
Los Angeles, CA 90047-1454

Phone

(323) 752-0746

Fax

(323) 752-0834

NPI assigned

Sep 24, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Nnaemeka Michael OkonkwoNPI 1033371638

Title

Owner

Phone

(323) 752-0746

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michokan Medical Supplies Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nnaemeka Michael Okonkwo

  • Durable Medical Equipment & Medical Supplies
  • Los Angeles, CA
  • NPI 1033371638
  NPD (past) Authorized official

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1881794378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6109 S WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471454",
            "telephone_number": "323-752-0746",
            "fax_number": "323-752-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6109 S WESTERN AVE STE 201",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900471454",
            "telephone_number": "323-752-0746",
            "fax_number": "323-752-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL OKONKWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "OKONKWO",
        "authorized_official_first_name": "NNAEMEKA",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-752-0746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR",
            "identifier": "103060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michokan Medical Supplies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 26, 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.