# KRYSTAL HOPE MEDICAL, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1740552868
- **Authorized official:** MS. AMECHI OBODOAGHA (CEO/OWNER)
- **Authorized official phone:** (424) 646-1317

## Contact information

- **Practice address:** 15665 HAWTHORNE BLVD, SUITE \# C, LAWNDALE, CA 90260-2658
- **Practice address phone:** (424) 646-1317
- **Practice address fax:** (310) 671-4300
- **Mailing address:** 727 LOYOLA AVE, CARSON, CA 90746-3903
- **Mailing address phone:** (424) 646-1317

## Taxonomy

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

## Other

- **Enumeration date:** 02/06/2012
- **Last updated:** 02/06/2012