Greater Health Medical Supply Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

5413670001 Issued in CA

Legal business name

GREATER HEALTH MEDICAL SUPPLY INC

Practice address

11612 Hawthorne Blvd
Suite 102
Hawthorne, CA 90250-2365

Phone

(310) 679-0660

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Adeoye Moses Ogunlade

Title

Owner

Phone

(310) 679-0660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1457533259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11612 HAWTHORNE BLVD",
            "address_2": "SUITE 102",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502365",
            "telephone_number": "310-679-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11612 HAWTHORNE BLVD",
            "address_2": "SUITE 102",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502365",
            "telephone_number": "310-679-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HEALTH MEDICAL SUPPLY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "OGUNLADE",
        "authorized_official_first_name": "ADEOYE",
        "authorized_official_middle_name": "MOSES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-679-0660"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "5413670001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Victoria Gonzalez
• Breana Gonzalez
• Vanessa Gonzalez
• Rogers Govender, SUD
• Drayton P Graham, MD
• Natalie Diane Greene
• Gregory Willett MD, a Professional Corporation
• Kyle Grow
• Matthew Guerrero, RPH
• Guidance Health Services, Inc.

• Durable Medical Equipment & Medical Supplies in Hawthorne, CA
• Providers in Hawthorne, 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 4, 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.