Provider Demographics
NPI:1093849044
Name:SUNNY DAY MEDICAL SUPPLY
Entity Type:Organization
Organization Name:SUNNY DAY MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:NWAKUNA
Authorized Official - Last Name:OLELEWE
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:562-622-1044
Mailing Address - Street 1:8032 IMPERIAL HWY # 4
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90242-3714
Mailing Address - Country:US
Mailing Address - Phone:562-622-1044
Mailing Address - Fax:562-622-1045
Practice Address - Street 1:8032 IMPERIAL HWY # 4
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-3714
Practice Address - Country:US
Practice Address - Phone:562-622-1044
Practice Address - Fax:562-622-1045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103826332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4294380002Medicare NSC