Provider Demographics
NPI:1093811143
Name:AFA CONSULTING CORPORATION
Entity Type:Organization
Organization Name:AFA CONSULTING CORPORATION
Other - Org Name:AFA MEDICAL SUPPLIES & EQUIPMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOEGWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-380-1358
Mailing Address - Street 1:4055 E GUASTI RD
Mailing Address - Street 2:#107
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-1519
Mailing Address - Country:US
Mailing Address - Phone:909-390-1358
Mailing Address - Fax:909-390-1378
Practice Address - Street 1:4055 E GUASTI RD
Practice Address - Street 2:#107
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761-1519
Practice Address - Country:US
Practice Address - Phone:909-390-1358
Practice Address - Fax:909-390-1378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5191710001Medicare NSC