# GOLDEN LIFE MEDICAL DISTRIBUTORS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336327360
- **Authorized official:** EMMANUEL NGOKA (MANAGER)
- **Authorized official phone:** (310) 219-1612

## Contact information

- **Practice address:** 11502 HAWTHORNE BLVD, SUITE A, HAWTHORNE, CA 90250-2314
- **Practice address phone:** (310) 219-1612
- **Practice address fax:** (310) 219-1864
- **Mailing address:** 11502 HAWTHORNE BLVD, SUITE A, HAWTHORNE, CA 90250-2314
- **Mailing address phone:** (310) 219-1612
- **Mailing address fax:** (310) 219-1864

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 46986 | CA | Yes |

## Other

- **Enumeration date:** 02/01/2008
- **Last updated:** 04/29/2008