Lutemi Medical Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103363 Issued in CA

Legal business name

LUTEMI MEDICAL SUPPLY

Practice address

550 E Carson Plaza Dr
Suite #125
Carson, CA 90746-3229

Phone

(310) 324-9265

NPI assigned

Jan 13, 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

Ms. Olufunke Ibiyemi Fadojutimi

Title

Director

Phone

(310) 324-9265

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871572198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR",
            "address_2": "SUITE #125",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463229",
            "telephone_number": "310-324-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E CARSON PLAZA DR",
            "address_2": "SUITE #125",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907463229",
            "telephone_number": "310-324-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTEMI MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FADOJUTIMI",
        "authorized_official_first_name": "OLUFUNKE",
        "authorized_official_middle_name": "IBIYEMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-324-9265",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2695436",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bianca Jean Lugtu
• Luis M Blando MD Inc
• Mayra P Lule Lopez, BCBA
• Cynthia Jew Lum, MSW, LCSW
• Randolph Lum, DDS
• Lutemi Medical Supply, Inc.
• Luxottica of America Inc (Target Optical #Q739)
• Luxottica Retail North America Inc (Sears Optical #1765)
• Marietta Joy Luzon-Vidad, NP
• Kathy Nhi Ly

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