NPI Information

  • NPI: 1144556390
  • Provider Name: WICKED MEDICAL
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 5580 IMPERIAL HWY
    SOUTH GATE, CA
    ZIP 90280
  • Phone: (855) 850-5888

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NPI Details

WICKED MEDICAL is a durable medical equipment medical supplies in South Gate, CA. The provider is 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. WICKED MEDICAL NPI is 1144556390. The provider is registered as an organization entity type.

The provider's business location address is:

5580 IMPERIAL HWY
SOUTH GATE, CA
ZIP 90280-418
Phone: (855) 850-5888

The provider's authorized official is Joey Tusia .
The authorized official title is President and has the following contact phone number (562) 843-2573.

The enumeration date for this NPI number is 10/22/2009 and was last updated on 7/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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