Lord'S Medical Supply
Durable Medical Equipment & Medical Supplies in Gardena, CA. Organization (NPI-2).
NPI number1619084720
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1619084720
- Entity type
- Organization (NPI-2)
- Legal business name
- Lord'S Medical Supply
- Organization subpart
- No
- Enumeration date
- Aug 24, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103477 | CA | Yes |
Practice location
1552 W 139th StSuite E
Gardena, CA 90249-2642
Phone 310-324-0516 · Fax 310-324-0518
Mailing address
1552 W 139th StreetSuite E
Gardena, CA 90249-2642
Phone 310-324-0516 · Fax 310-324-0518
Authorized official
O. Temitope Anifowose
Owner
3103240516
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All 38 Durable Medical Equipment & Medical Supplies providers in Gardena · All 5,199 providers in Gardena
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