Organization
PRESTIGE ENTERPRISE A MEDICAL SUPPLY CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GODFREY U. NWOGENE (PRESIDENT)
(310) 515-0979
Entity
Organization
Contact information
Practice address
1113 W GARDENA BLVD, SUITE A, GARDENA, CA 90247-4887
(310) 515-0979
(310) 515-1290
Mailing address
1113 W GARDENA BLVD, SUITE A, GARDENA, CA 90247-4887
(310) 515-0979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B0000X
CA
Other
Enumeration date
08/15/2006
Last updated
10/29/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up