Organization Active NPI

Ajibola a Sadiqr

Doing business as Cooper Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Canoga Park, CA
National Provider Identifier
1073624714
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
47081 Issued in CA
Legal business name
AJIBOLA A SADIQR
Doing business as
Cooper Medical Supply
Practice address
7210 Remmet Ave
Canoga Park, CA 91303-1531
Phone
(818) 888-0724
Fax
(818) 888-9021
NPI assigned
Aug 31, 2006
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. Ajibola A Sadiqr
Title
Owner
Phone
(818) 888-0724

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 47081 CA Primary

Addresses

Primary practice location

7210 Remmet Ave
Canoga Park, CA 91303-1531

Mailing address

7210 Remmet Ave
Canoga Park, CA 91303-1531
Phone (818) 888-0724

Other names 1

  • COOPER MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

7210 Remmet Ave
Canoga Park, CA 91303
Phone (818) 888-0724

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1073624714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 REMMET AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031531",
            "telephone_number": "818-888-0724",
            "fax_number": "818-888-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 REMMET AVE",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913031531",
            "telephone_number": "818-888-0724",
            "fax_number": "818-888-9021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJIBOLA A SADIQR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SADIQR",
        "authorized_official_first_name": "AJIBOLA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-888-0724",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "47081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COOPER MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canoga Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.