| NPI | 1457375800 | 
|---|---|
| Doing Business As | LONG LIFE MEDICAL SUPPLY | 
| Entity Type | Organization | 
| Authorized Contact | CHUKWUEBUNIE M JIAGBOGU CEO/Owner 310-671-5252 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CA 45061) | 
| Enumeration Date | 2006-07-27 | 
| Last Update Date | 2008-06-24 |