Organization
STANLEY N. IGBOAKAEZE
Active
Other names
DIVINE CONCEPT INTERNATIONAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY N IGBOAKAEZE (OWNER)
(310) 349-8346
Entity
Organization
Contact information
Practice address
15342 HAWTHORNE BLVD, SUITE 206, LAWNDALE, CA 90260-2192
(310) 349-8346
(310) 988-2194
Mailing address
15342 HAWTHORNE BLVD, SUITE 206, LAWNDALE, CA 90260-2192
(310) 349-8346
(310) 988-2194
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103577
CA
Other
Enumeration date
10/19/2005
Last updated
02/20/2008
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