Organization
ESSENTIAL MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENNIE OBIAGELI NIBO (PRESIDENT)
(310) 679-5025
Entity
Organization
Contact information
Practice address
12852 HAWTHORNE BLVD, HAWTHORNE, CA 90250-4407
(310) 679-5025
(310) 679-5095
Mailing address
12852 HAWTHORNE BLVD, HAWTHORNE, CA 90250-4407
(310) 679-5025
(310) 679-5095
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103582
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03343F
—
CA
Enumeration date
07/17/2006
Last updated
01/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us