Provider Demographics
NPI:1023042090
Name:TED TRADING COMPANY
Entity Type:Organization
Organization Name:TED TRADING COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:CHIDOZIE
Authorized Official - Last Name:EKWEGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-517-9390
Mailing Address - Street 1:1614 ANAHEIM ST
Mailing Address - Street 2:
Mailing Address - City:HARBOR CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90710-3214
Mailing Address - Country:US
Mailing Address - Phone:310-517-9390
Mailing Address - Fax:310-517-9390
Practice Address - Street 1:1614 ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:HARBOR CITY
Practice Address - State:CA
Practice Address - Zip Code:90710-3214
Practice Address - Country:US
Practice Address - Phone:310-517-9390
Practice Address - Fax:310-517-9390
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2008-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103546332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6081630001Medicare NSC