Organization
SPEEDYCARE MEDICAL DISTRIBUTORS , INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUDE I UWAEZUOKE (PRESIDENT)
(323) 242-2018
Entity
Organization
Contact information
Practice address
8955 S WESTERN AVE, LOS ANGELES, CA 90047-3549
(323) 242-2018
(323) 834-0476
Mailing address
8955 S WESTERN AVE, LOS ANGELES, CA 90047-3549
(323) 242-2018
(323) 834-0476
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102327
CA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
102327
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26821
CARE 1ST HEALTH PLAN
CA
05
—
DME03093F
—
CA
Enumeration date
11/28/2006
Last updated
12/29/2008
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