# MEDPAC MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497981260
- **Authorized official:** GIDEON NWANISIOBI (PRESIDENT)
- **Authorized official phone:** (310) 676-1400

## Contact information

- **Practice address:** 14623 HAWTHORNE BLVD STE 308, LAWNDALE, CA 90260-1590
- **Practice address phone:** (310) 676-1400
- **Mailing address:** 14623 HAWTHORNE BLVD STE 308, LAWNDALE, CA 90260-1590
- **Mailing address phone:** (310) 676-1400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 52010 | CA | Yes |

## Other

- **Enumeration date:** 06/06/2009
- **Last updated:** 05/17/2010