Provider Demographics
NPI:1104835024
Name:DINAMES ASSOCIATES
Entity Type:Organization
Organization Name:DINAMES ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:UKPONG
Authorized Official - Middle Name:EKANEM
Authorized Official - Last Name:ITO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-406-3904
Mailing Address - Street 1:3711 LOMITA BLVD
Mailing Address - Street 2:SUITE 127
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-3877
Mailing Address - Country:US
Mailing Address - Phone:310-406-3904
Mailing Address - Fax:310-406-3907
Practice Address - Street 1:3711 LOMITA BLVD
Practice Address - Street 2:SUITE 127
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-3877
Practice Address - Country:US
Practice Address - Phone:310-406-3904
Practice Address - Fax:310-406-3907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-07
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA433834332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5713640001Medicare ID - Type UnspecifiedSERVICE PROVIDER
CA433834Medicare ID - Type UnspecifiedHMDR