Glory Medical Supplies

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103871 Issued in CA

Legal business name

GLORY MEDICAL SUPPLIES

Practice address

2912 W Vernon Ave
Los Angeles, CA 90008-4757

Phone

(323) 293-4947

Fax

(323) 293-4974

NPI assigned

May 25, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dayo Ogunmola

Title

Co-Owner

Phone

(323) 293-4947

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467408195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2912 W VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084757",
            "telephone_number": "323-293-4947",
            "fax_number": "323-293-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2912 W VERNON AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900084757",
            "telephone_number": "323-293-4947",
            "fax_number": "323-293-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLORY MEDICAL SUPPLIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OGUNMOLA",
        "authorized_official_first_name": "DAYO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "323-293-4947",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMDR LICENCE",
            "identifier": "103871",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Joy Lutz Gloria
• Gloriana C. Villago D. D. S., Inc.
• Glory Cabanilla Tancinco,M.D. Inc.
• Glory Health Clinic, Inc.
• Glory Home Health, Inc.
• Colette Ann Glosman, MA, LMFT
• Jacqueline Glosman
• Bobby Gene Glover Jr I
• Ashon Glover
• Conor Michael Glover

• Durable Medical Equipment & Medical Supplies in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 22, 2020; 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.