# CHUMA NWAKO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pacifica Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497701080
- **Authorized official:** MR. CHUMA NWAKO (OWNER)
- **Authorized official phone:** (310) 630-1600

## Contact information

- **Practice address:** 15238 CRENSHAW BLVD, GARDENA, CA 90249-4049
- **Practice address phone:** (310) 630-1600
- **Practice address fax:** (310) 630-1661
- **Mailing address:** PO BOX 88121, LOS ANGELES, CA 90009-8121
- **Mailing address phone:** (310) 630-1600
- **Mailing address fax:** (310) 630-1661

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45425 | CA | Yes |

## Other

- **Enumeration date:** 05/25/2006
- **Last updated:** 10/14/2008