Provider Demographics
NPI:1700022191
Name:LUDUMES, INC.
Entity Type:Organization
Organization Name:LUDUMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRSIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BONIFACE
Authorized Official - Middle Name:
Authorized Official - Last Name:TSOBNANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-834-1357
Mailing Address - Street 1:1621 E EDINGER AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-5001
Mailing Address - Country:US
Mailing Address - Phone:714-834-1357
Mailing Address - Fax:714-834-1358
Practice Address - Street 1:1621 E EDINGER AVE
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-5001
Practice Address - Country:US
Practice Address - Phone:714-834-1357
Practice Address - Fax:714-834-1358
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50293332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6012070001Medicare NSC