MEDICARE: OGOAJA CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1457599235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OGOAJA CORPORATION

Provider Business Mailing Address
First Line	:	6109 S WESTERN AVE STE 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-1454
Country	:	US
Telephone Number	:	323-587-1443
Fax Number	:	323-587-1443

Provider Business Practice Location Address
First Line	:	6109 S WESTERN AVE STE 104
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-1454
Country	:	US
Telephone Number	:	323-587-1443
Fax Number	:	323-587-1443

Authorized Official
Title or Position	:	OWNER/ PRESIDENT
Name	:	MR. EMEKA NDIGWE
Credential	:
Telephone Number	:	323-567-1443

Provider Enumeration Date	:	02/01/2009
Last Update Date	:	03/23/2011

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Directions to “OGOAJA CORPORATION ” Practice Location

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