Modesola Akinbi

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45311 Issued in CA

Legal business name

MODESOLA AKINBI

Practice address

13414 1/ 2 So. Avalon Blvd
Los Angeles, CA 90061-2231

Phone

(310) 532-3080

Fax

(310) 532-3080

NPI assigned

Jul 20, 2006

Organization subpart

No

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

Authorized official

Name

Modesola Bimbo Akinbi

Title

Owner

Phone

(310) 532-3080

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304726400000",
    "number": "1619997061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13414 1/ 2 SO. AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612231",
            "telephone_number": "310-532-3080",
            "fax_number": "310-532-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13414 1/ 2 SO. AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612231",
            "telephone_number": "310-532-3080",
            "fax_number": "310-532-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESOLA AKINBI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2011-05-07",
        "status": "A",
        "authorized_official_last_name": "AKINBI",
        "authorized_official_first_name": "MODESOLA",
        "authorized_official_middle_name": "BIMBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-532-3080"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 May 7, 2011; 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.