# MICHAEL OKONKWO

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

## Provider details

- **NPI number:** 1881794378
- **Authorized official:** MR. NNAEMEKA MICHAEL OKONKWO (OWNER)
- **Authorized official phone:** (323) 752-0746

## Contact information

- **Practice address:** 6109 S WESTERN AVE STE 201, LOS ANGELES, CA 90047-1454
- **Practice address phone:** (323) 752-0746
- **Practice address fax:** (323) 752-0834
- **Mailing address:** 6109 S WESTERN AVE STE 201, LOS ANGELES, CA 90047-1454
- **Mailing address phone:** (323) 752-0746
- **Mailing address fax:** (323) 752-0834

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103060 | CA | Yes |

## Other

- **Enumeration date:** 09/24/2006
- **Last updated:** 06/26/2008