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Nkem Iheanaju
Prosthetic/Orthotic Supplier in Carson, California
NPI 1336317403

Nkem Iheanaju is a Prosthetic/Orthotic Supplier based in Hawthorne, CA. Nkem Iheanaju practices in Carson, CA. The NPI Number for Nkem Iheanaju is 1336317403 and holds a License No. 103335 (California).

The current practice location address for Nkem Iheanaju is 1300 E 223Rd St, Carson, CA and can be reached out via phone at 310-221-5310 and via fax at 310-834-6119.

Location: 1300 E 223Rd St, Carson, CA, 90251-1541
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336317403
Provider Name
Nkem Iheanaju
Credential
Provider Entity Type
Organization
Address
1300 E 223Rd St, Carson, CA, 90251-1541
Phone Number
310-221-5310
Fax Number
310-834-6119
Provider Enumeration Date
02/12/2008
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1300 E 223Rd St
City
Carson
State
California
Zip
90745-4355
Phone Number
310-221-5310
Fax Number
310-834-6119
person
Provider Business Mailing Address Details
Address
1300 E 223Rd St
City
Carson
State
California
Zip
90745-4355
Phone Number
310-221-5310
Fax Number
310-834-6119
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
103335 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
103335 (California)
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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