# GERTRUDE IHENACHOR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gerthill Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407945504
- **Authorized official:** GERTRUDE ULOMA IHENACHOR (OWNER)
- **Authorized official phone:** (310) 327-6977

## Contact information

- **Practice address:** 825 W GARDENA BLVD, GARDENA, CA 90247-3030
- **Practice address phone:** (310) 327-6977
- **Practice address fax:** (310) 327-6980
- **Mailing address:** 14612 S CATALINA AVE, GARDENA, CA 90247-3030
- **Mailing address phone:** (310) 327-6977
- **Mailing address fax:** (310) 327-6980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 51946 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 09/04/2009
