Provider Demographics
NPI:1609053016
Name:FLORENCE EZEAKU-OLIE
Entity Type:Organization
Organization Name:FLORENCE EZEAKU-OLIE
Other - Org Name:FLOXIE MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEAKU-OLIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-257-9084
Mailing Address - Street 1:24017 NARBONNE AVE
Mailing Address - Street 2:SUITE J
Mailing Address - City:LOMITA
Mailing Address - State:CA
Mailing Address - Zip Code:90717-1166
Mailing Address - Country:US
Mailing Address - Phone:310-257-9084
Mailing Address - Fax:310-257-8976
Practice Address - Street 1:24017 NARBONNE AVE
Practice Address - Street 2:SUITE J
Practice Address - City:LOMITA
Practice Address - State:CA
Practice Address - Zip Code:90717-1166
Practice Address - Country:US
Practice Address - Phone:310-257-9084
Practice Address - Fax:310-257-8976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43057332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA43057OtherHMDR
CA43057OtherHMDR
CA=========OtherEIN