Healthcare Provider Details

I. General information

NPI: 1720141237
Provider Name (Legal Business Name): E & M MEDICAL SUPPLY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2006
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2818 W JEFFERSON BLVD
LOS ANGELES CA
90018-3323
US

IV. Provider business mailing address

2818 W JEFFERSON BLVD
LOS ANGELES CA
90018-3323
US

V. Phone/Fax

Practice location:
  • Phone: 323-732-4433
  • Fax: 323-732-4434
Mailing address:
  • Phone: 323-732-4433
  • Fax: 323-732-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number46548
License Number StateCA

VIII. Authorized Official

Name: MR. OLADAPO BABAJIDE
Title or Position: DIRECTOR
Credential:
Phone: 323-899-3354