Oloruntoyin K. Liadi

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

50333 Issued in CA

Practice address

326 Orange Show LN
San Bernardino, CA 92408-2023

Phone

(909) 888-1674

Fax

(909) 888-1677

NPI assigned

Nov 12, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1548414972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 ORANGE SHOW LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082023",
            "telephone_number": "909-888-1674",
            "fax_number": "909-888-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 ORANGE SHOW LN",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082023",
            "telephone_number": "909-888-1674",
            "fax_number": "909-888-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIADI",
        "first_name": "OLORUNTOYIN",
        "middle_name": "K.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-12",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "50333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jasmine Sharee Liddell
• Kelly Liebel

• Durable Medical Equipment & Medical Supplies in San Bernardino, CA
• Providers in San Bernardino, 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 May 18, 2010; 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.