# JONES A OKEKE

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

## Provider details

- **NPI number:** 1437265469
- **Authorized official:** MR. JONES ANNY OKEKE (DIRECTOR)
- **Authorized official phone:** (323) 954-9820

## Contact information

- **Practice address:** 5017 SAN VICENTE BLVD, LOS ANGELES, CA 90019-2955
- **Practice address phone:** (323) 954-9820
- **Practice address fax:** (323) 954-7995
- **Mailing address:** 5017 SAN VICENTE BLVD, LOS ANGELES, CA 90019-2955
- **Mailing address phone:** (323) 954-9820
- **Mailing address fax:** (323) 954-7995

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44381 | CA | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 06/25/2008