Healthcare Provider Details

I. General information

NPI: 1609907666
Provider Name (Legal Business Name): HILIFE HEALTHCARE SUPPLIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 03/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1703 E COMPTON BLVD UNITE B
COMPTON CA
90221-3408
US

IV. Provider business mailing address

1703 E COMPTON BLVD UNITE B
COMPTON CA
90221-3408
US

V. Phone/Fax

Practice location:
  • Phone: 310-537-7755
  • Fax: 310-537-7766
Mailing address:
  • Phone: 310-537-7755
  • Fax: 310-537-7766

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number46459
License Number StateCA

VIII. Authorized Official

Name: ANTHONY OFOHA
Title or Position: OWNER
Credential:
Phone: 310-537-7755