Provider Demographics
NPI:1548428980
Name:TRADEWINDS COMMERCE, INC.
Entity Type:Organization
Organization Name:TRADEWINDS COMMERCE, INC.
Other - Org Name:TRADEWINDS MEDICAL EQUIPMENTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MAURICE
Authorized Official - Middle Name:
Authorized Official - Last Name:UDENKWO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-908-3033
Mailing Address - Street 1:14640 VICTORY BLVD
Mailing Address - Street 2:SUITE 211A
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-1623
Mailing Address - Country:US
Mailing Address - Phone:818-908-3033
Mailing Address - Fax:818-908-3026
Practice Address - Street 1:14640 VICTORY BLVD
Practice Address - Street 2:SUITE 211A
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-1623
Practice Address - Country:US
Practice Address - Phone:818-908-3033
Practice Address - Fax:818-908-3026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-31
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0002317088-0001-7OtherCITY OF LOS ANGELES
6185080001Medicare NSC