Organization
MICHAEL OKONKWO
Active
Other names
Michokan Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NNAEMEKA MICHAEL OKONKWO (OWNER)
(323) 752-0746
Entity
Organization
Contact information
Practice address
6109 S WESTERN AVE STE 201, LOS ANGELES, CA 90047-1454
(323) 752-0746
(323) 752-0834
Mailing address
6109 S WESTERN AVE STE 201, LOS ANGELES, CA 90047-1454
(323) 752-0746
(323) 752-0834
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103060
HMDR
CA
Enumeration date
09/24/2006
Last updated
06/26/2008
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