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CUSTODIAN MEDICAL SUPPLY
NPI 1265691562
Durable Medical Equipment & Medical Supplies in San Pedro, CA

Active since June 03, 2008
1891 N GAFFEY STREET, SUITE L, SAN PEDRO, CA 90731(310) 833-1190(310) 833-1196 Get Directions Write a Review

NPPES record last updated: October 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Custodian Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTODIAN MEDICAL SUPPLY (NPI 1265691562) is a healthcare organization registered as a durable medical equipment & medical supplies in San Pedro, California and active in the NPI registry since June 2008. The organization lists Akinola Kodjo Sagoe, President, as its authorized official.

NPPES Registry Identity

NPI1265691562
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameCUSTODIAN INCORPORATION
Location Address1891 N GAFFEY STREET, SUITE LSan Pedro, CA 90731
Mailing Address1891 N Gaffey Street, Suite LSan Pedro, CA 90731 · (310) 833-1190 · Fax (310) 833-1196
Phone(310) 833-1190
Fax(310) 833-1196
Organization SubpartNo
Authorized OfficialAkinola Kodjo SagoePresident · (310) 833-1190
Enumeration DateJune 3, 2008
Last NPPES UpdateOctober 2, 2008
✔ NPI 1265691562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1891 N GAFFEY STREET, San Pedro, CA 90731
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Other Names 1

Doing Business AsCustodian Medical Supply

Other Identifiers 1

Other101-092498CA · Reseller Permit

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Custodian Incorporation's NPI number?

The NPI number for Custodian Incorporation is 1265691562. It was assigned to this organization in the NPPES registry on June 3, 2008. The provider is doing business as Custodian Medical Supply.

Where is Custodian Incorporation located?

Custodian Incorporation is located at 1891 N Gaffey Street Suite L, San Pedro, CA 90731. The listed phone number is (310) 833-1190.

What is Custodian Incorporation's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Custodian Incorporation was last updated on October 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.