Lord'S Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103477 Issued in CA

Legal business name

LORD'S MEDICAL SUPPLY

Practice address

1552 W 139TH St
Suite E
Gardena, CA 90249-2642

Phone

(310) 324-0516

Fax

(310) 324-0518

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

O. Temitope Anifowose

Title

Owner

Phone

(310) 324-0516

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619084720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 W 139TH STREET",
            "address_2": "SUITE E",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492642",
            "telephone_number": "310-324-0516",
            "fax_number": "310-324-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 W 139TH ST",
            "address_2": "SUITE E",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902492642",
            "telephone_number": "310-324-0516",
            "fax_number": "310-324-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORD'S MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANIFOWOSE",
        "authorized_official_first_name": "O. TEMITOPE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-324-0516"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DME03219F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riane Lopez
• Sara Lopez
• Stephanie Lopez
• Steven Andrew Lopez
• Yvonne Lopez
• Alexis Lorenzo
• Dora Liz Lorenzo Lorenzo, BCBA
• Lizeth Lorenzo, BCBA
• Yulissa Lorenzo
• Los Angeles County - Gardena Mtu

• Durable Medical Equipment & Medical Supplies in Gardena, CA
• Providers in Gardena, 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.