Provider Demographics
NPI:1003033655
Name:TRIMEX MEDICAL DISTRIBUTORS, INC.
Entity type:Organization
Organization Name:TRIMEX MEDICAL DISTRIBUTORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DELE
Authorized Official - Middle Name:B
Authorized Official - Last Name:AKANMU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-751-5166
Mailing Address - Street 1:2631 W MANCHESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90305-2433
Mailing Address - Country:US
Mailing Address - Phone:323-751-5166
Mailing Address - Fax:323-751-2398
Practice Address - Street 1:2631 W MANCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90305-2433
Practice Address - Country:US
Practice Address - Phone:323-751-5166
Practice Address - Fax:323-751-2398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103100332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4832130001Medicare NSC