Devine Healthcare & Medical Supply

LBN: Alfred Kpekpe
Devine Healthcare & Medical Supply is an health care organization with primary practice located at 1807 W 108Th St , Los Angeles CA 90047-4417. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Alfred Kpekpe can be contacted via phone (323) 777-2797, or through Kpekpe, Alfred via phone (323) 777-2797.

Contact Information

Primary practice address
1807 W 108Th St Los Angeles CA 90047-4417
Fax: (323) 777-2754
Website:
Authorized official contact:
Name: Kpekpe, Alfred

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X California

Profile Details

NPI number 1568438315
LBN Legal business name Alfred Kpekpe
DBA Doing business as Devine Healthcare & Medical Supply
Authorized official Kpekpe, Alfred
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2006
Last updated Jun 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568438315 NPPES
California MEDICAID DME03383F

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