1376677310 NPI number — DAN RANGER MEDICAL EQUIPMENT AND SUPPLIES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376677310 NPI number — DAN RANGER MEDICAL EQUIPMENT AND SUPPLIES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAN RANGER MEDICAL EQUIPMENT AND SUPPLIES, INC.
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:
Provider Other Organization Name Type Code:
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:
1376677310
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/13/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6109 S WESTERN AVE
Provider Second Line Business Mailing Address:
SUITE 310
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90047-1458
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
213-291-1482
Provider Business Mailing Address Fax Number:
213-291-0565

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6109 S WESTERN AVE
Provider Second Line Business Practice Location Address:
SUITE 310
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90047-1458
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
213-291-1482
Provider Business Practice Location Address Fax Number:
213-291-0565
Provider Enumeration Date:
03/14/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SANWO
Authorized Official First Name:
BABATUNDE
Authorized Official Middle Name:
OLUSEYI
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
213-291-1482

Provider Taxonomy Codes

  • Taxonomy code: 171W00000X , with the licence number:  44038 , 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)





Copyright © 2007-2025 www.npivalidator.com