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General NPI Number Information
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NPI Number | 1265548853
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Entity Type | Organization
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Legal Business Name | MED-KAL EQUIPMENT & SUPPLY, INC.
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2500 WILSHIRE BLVD SUITE 105
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City | LOS ANGELES
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State | CA
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Zip | 90057-4303
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Country | US
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Telephone | 213-386-1100
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Fax | 213-383-2797
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Provider Business Mailing Address
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Address Line | 2500 WILSHIRE BLVD SUITE 105
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City | LOS ANGELES
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State | CA
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Zip | 90057-4303
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Country | US
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Telephone | 213-386-1100
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Fax | 213-383-2797
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Authorized Official
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Title or Position | PRESIDENT
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Name | TUNDE OGUNDIMU
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Credential |
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Telephone | 213-386-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 103656
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License Number State | CA
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