Liberty Medical,Supply Co

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

46993 Issued in CA

Legal business name

LIBERTY MEDICAL,SUPPLY CO

Practice address

24877 Sunnymead Blvd
Moreno Valley, CA 92553-3702

Phone

(951) 924-8500

Fax

(951) 924-0151

NPI assigned

Apr 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olabisi AdebowaleNPI 1447296322

Title

Director

Phone

(951) 924-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Olabisi A Adebowale, NA

  • Contractor
  • Moreno Valley, CA
  • NPI 1447296322
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1003937905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24877 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533702",
            "telephone_number": "951-924-8500",
            "fax_number": "951-924-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24877 SUNNYMEAD BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533702",
            "telephone_number": "951-924-8500",
            "fax_number": "951-924-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY MEDICAL,SUPPLY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "ADEBOWALE",
        "authorized_official_first_name": "OLABISI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-924-8500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "46993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanjin Li
• Zizhuang Li, M.D.
• Ellen Liang, DO, MPH
• Yueyi Liao
• Liberating Minds Family Therapy Services Prof. Corp
• Donna Lien, MD
• Lifetime Pharmacy Corp
• Jade Liggins
• Alexander Andrew Lim, DO
• Hilary Lim, PHARMD

• Durable Medical Equipment & Medical Supplies in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.