# INGENIUS3 LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** I-3 medical services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407183528
- **Authorized official:** SAMUEL KWAW WAGYA (MANAGER)
- **Authorized official phone:** (310) 294-9017

## Contact information

- **Practice address:** 18119 PRAIRIE AVE STE 104, TORRANCE, CA 90504-3740
- **Practice address phone:** (310) 294-9017
- **Practice address fax:** (310) 844-7712
- **Mailing address:** 18119 PRAIRIE AVE STE 104, TORRANCE, CA 90504-3740
- **Mailing address phone:** (310) 294-9017
- **Mailing address fax:** (310) 844-7712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 52418 | CA | Yes |

## Other

- **Enumeration date:** 11/10/2009
- **Last updated:** 04/16/2012