Active NPI
Ajibola a Sadiqr
Doing business as Cooper Medical Supply
- Durable Medical Equipment & Medical Supplies
- Canoga Park, CA
National Provider Identifier
1073624714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 47081
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.