Organization
CHUKWUEBUNIE JIAGBOGU
Active
Other names
Long Life Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHUKWUEBUNIE M JIAGBOGU (CEO/OWNER)
(310) 671-5252
Entity
Organization
Contact information
Practice address
428 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
(310) 671-5252
(310) 671-5297
Mailing address
428 W MANCHESTER BLVD, INGLEWOOD, CA 90301-1110
(310) 671-5252
(310) 671-5297
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45061
CA
Other
Enumeration date
07/27/2006
Last updated
06/24/2008
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