Provider Demographics
NPI:1144195090
Name:WRIGHT, JOHN LEE
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:LEE
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 W ARTESIA SQ UNIT C
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90248-4750
Mailing Address - Country:US
Mailing Address - Phone:562-643-5525
Mailing Address - Fax:
Practice Address - Street 1:1604 W ARTESIA SQ UNIT C
Practice Address - Street 2:
Practice Address - City:GARDENA
Practice Address - State:CA
Practice Address - Zip Code:90248-4750
Practice Address - Country:US
Practice Address - Phone:562-643-5525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-09
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No171W00000XOther Service ProvidersContractor