Provider Demographics
NPI:1851506307
Name:NATIONWIDE MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:NATIONWIDE MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TIBEBU
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-672-9900
Mailing Address - Street 1:214 E REGENT ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-1223
Mailing Address - Country:US
Mailing Address - Phone:310-672-9900
Mailing Address - Fax:310-672-9909
Practice Address - Street 1:214 E REGENT ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-1223
Practice Address - Country:US
Practice Address - Phone:310-672-9900
Practice Address - Fax:310-672-9909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA46846332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies