# CHUKWUEBUNIE JIAGBOGU

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

## Provider details

- **NPI number:** 1457375800
- **Authorized official:** MR. CHUKWUEBUNIE M JIAGBOGU (CEO/OWNER)
- **Authorized official phone:** (310) 671-5252

## Contact information

- **Practice address:** 428 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
- **Practice address phone:** (310) 671-5252
- **Practice address fax:** (310) 671-5297
- **Mailing address:** 428 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
- **Mailing address phone:** (310) 671-5252
- **Mailing address fax:** (310) 671-5297

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45061 | CA | Yes |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 06/24/2008