Provider Demographics
NPI:1477731602
Name:ABIO GROUP INC
Entity Type:Organization
Organization Name:ABIO GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:IBE
Authorized Official - Middle Name:INNOCENT
Authorized Official - Last Name:OKOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-668-9060
Mailing Address - Street 1:3641A MARTIN LUTHER KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-3506
Mailing Address - Country:US
Mailing Address - Phone:310-668-9060
Mailing Address - Fax:310-668-9061
Practice Address - Street 1:3641A MARTIN LUTHER KING JR BLVD
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-3506
Practice Address - Country:US
Practice Address - Phone:310-668-9060
Practice Address - Fax:310-668-9061
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABIO GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-11
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4714990001Medicare NSC