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Export Provider Record NPI 1063582575
Gozie Tony Ezemonye
Active
NPI Number1063582575
NPI TypeNPI-1 Individual
SpecialtyDurable Medical Equipment & Medical Supplies
Provider Details
NPI1063582575
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-11-09
Last Updated2007-07-08
Mailing AddressPo Box 86
Hawthorne, CA 90251-0086
United States
Phone: (310) 676-0576 | Fax: (310) 676-9109
📍 View Map
Primary Practice Address4448 W.el Segundo Bl.
Hawthorne, CA 90250-4421
United States
Phone: (310) 676-0576 | Fax: (310) 676-9109
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes332B00000X – Durable Medical Equipment & Medical SuppliesCA101671
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About NPI 1063582575

Gozie Tony Ezemonye is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1063582575. The primary specialty listed is Durable Medical Equipment & Medical Supplies. The provider is located in Hawthorne, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-11-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1063582575?

NPI 1063582575 belongs to Gozie Tony Ezemonye, a Durable Medical Equipment & Medical Supplies in Hawthorne, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1063582575 active?

The current status of NPI 1063582575 in the NPPES registry is Active. The record was last updated on 2007-07-08.

What specialty is NPI 1063582575?

NPI 1063582575 is classified under the taxonomy Durable Medical Equipment & Medical Supplies. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1063582575?

You can verify NPI 1063582575 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1063582575?

The primary practice address on file for NPI 1063582575 is 4448 W.el Segundo Bl., Hawthorne, CA 90250-4421. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1063582575 issued?

NPI 1063582575 was first issued (enumerated) on 2006-11-09. The NPPES record was last updated on 2007-07-08.

Practice Location Map

Gozie Tony Ezemonye is located at 4448 W.el Segundo Bl., Hawthorne, CA. Use the map below to find directions or verify the practice location.

📍 4448 W.el Segundo Bl., Hawthorne, CA 90250-4421  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Gozie Tony Ezemonye. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1063582575. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Durable Medical Equipment & Medical Supplies101671CA
Data Verified from CMS NPPES Last synced: 2026-06-17 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162