Provider Demographics
NPI:1063648764
Name:ECOK MEDICAL EQUIPMENT SUPPLY INC
Entity Type:Organization
Organization Name:ECOK MEDICAL EQUIPMENT SUPPLY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHUKWUEMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKPARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-516-1201
Mailing Address - Street 1:16604 CRENSHAW BLVD
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90504-2108
Mailing Address - Country:US
Mailing Address - Phone:310-516-1201
Mailing Address - Fax:310-516-1977
Practice Address - Street 1:16604 CRENSHAW BLVD
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90504-2108
Practice Address - Country:US
Practice Address - Phone:310-516-1201
Practice Address - Fax:310-516-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies