Provider Demographics
NPI:1962679993
Name:NANDO MEDICAL EQUIPMENT & SUPPLIES, INC.
Entity type:Organization
Organization Name:NANDO MEDICAL EQUIPMENT & SUPPLIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTAIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:ANAKWENZE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-679-0118
Mailing Address - Street 1:3940 MARINE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-2333
Mailing Address - Country:US
Mailing Address - Phone:310-679-0118
Mailing Address - Fax:310-679-0822
Practice Address - Street 1:3940 MARINE AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-2333
Practice Address - Country:US
Practice Address - Phone:310-679-0118
Practice Address - Fax:310-679-0822
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-09
Last Update Date:2008-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA49272332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6127270001Medicare NSC