1942224357 NPI number — FELIX Y. AKINBI

Table of content: (NPI 1942224357)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942224357 NPI number — FELIX Y. AKINBI

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FELIX Y. AKINBI
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAY MEDICAL SUPPLY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942224357
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2272 PACIFIC AVE
Provider Second Line Business Mailing Address:
SUITE C
Provider Business Mailing Address City Name:
LONG BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90806-4312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-988-2137
Provider Business Mailing Address Fax Number:
562-424-7413

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2272 PACIFIC AVE
Provider Second Line Business Practice Location Address:
SUITE C
Provider Business Practice Location Address City Name:
LONG BEACH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90806-4312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-988-2137
Provider Business Practice Location Address Fax Number:
562-424-7413
Provider Enumeration Date:
07/27/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AKINBI
Authorized Official First Name:
FELIX
Authorized Official Middle Name:
YEMI
Authorized Official Title or Position:
DIRECTOR (OPERATION)
Authorized Official Telephone Number:
562-988-2137

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)