Provider Demographics
NPI:1932128972
Name:JOSMEK MEDICAL SUPPLY AND ASSOCIATES
Entity Type:Organization
Organization Name:JOSMEK MEDICAL SUPPLY AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:N/A
Authorized Official - Last Name:MADUAKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-679-2761
Mailing Address - Street 1:11612 HAWTHORNE BLVD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HAWTHORNE
Mailing Address - State:CA
Mailing Address - Zip Code:90250-2316
Mailing Address - Country:US
Mailing Address - Phone:310-679-2791
Mailing Address - Fax:310-679-2782
Practice Address - Street 1:11612 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 104
Practice Address - City:HAWTHORNE
Practice Address - State:CA
Practice Address - Zip Code:90250-2316
Practice Address - Country:US
Practice Address - Phone:310-679-2791
Practice Address - Fax:310-679-2782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103434332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies