Organization
CHIPATLIN MEDICAL CONCEPT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK UZOMA OSUAGWU (MANAGING DIRECTOR)
(310) 349-8770
Entity
Organization
Contact information
Practice address
11633 HAWTHORNE BLVD, SUITE 308, HAWTHORNE, CA 90250-2321
(310) 349-8770
(310) 349-8770
Mailing address
11633 HAWTHORNE BLVD, SUITE 308, HAWTHORNE, CA 90250-2321
(310) 349-8770
(310) 349-8770
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46254
HMDR LICENSE
CA
Enumeration date
03/15/2007
Last updated
04/20/2008
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