Organization
LC MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KIERAN IBE CHIKWENDU (PRESIDENT/CEO)
(323) 753-1344
Entity
Organization
Contact information
Practice address
8710 S WESTERN AVE, LOS ANGELES, CA 90047-3326
(323) 753-1344
(323) 753-1325
Mailing address
8710 S WESTERN AVE, LOS ANGELES, CA 90047-3326
(323) 753-1344
(323) 753-1325
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
43806
CA
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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