# BRIDGET OGWONUWE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BRIDGET MEDICAL SUPPLY COMPANY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003842493
- **Authorized official:** MRS. BRIDGET ADA OGWONUWE (OWNER)
- **Authorized official phone:** (310) 649-7545

## Contact information

- **Practice address:** 6033 W CENTURY BLVD, SUITE 400 (RM1142), LOS ANGELES, CA 90045-6410
- **Practice address phone:** (310) 649-7545
- **Practice address fax:** (310) 649-7546
- **Mailing address:** 6033 W CENTURY BLVD, SUITE 400 (RM1142), LOS ANGELES, CA 90045-6410
- **Mailing address phone:** (310) 649-7545
- **Mailing address fax:** (310) 649-7546

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 43461 | CA | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 06/23/2008
