Organization Active NPI

Latay Medical Services, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Gardena, CA
National Provider Identifier
1982848925
Registry record updated Apr 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
103127 Issued in CA
Legal business name
LATAY MEDICAL SERVICES, INC.
Practice address
14612 Crenshaw Blvd
Gardena, CA 90249-3147
Phone
(310) 538-9280
Fax
(310) 538-9257
NPI assigned
Apr 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2009

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

Authorized official

Name
Mrs. Bolademi AdetolaNPI 1598938995
Title
President
Phone
(310) 538-9280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 103127 CA Primary

Addresses

Primary practice location

14612 Crenshaw Blvd
Gardena, CA 90249-3147

Mailing address

14612 Crenshaw Blvd
Gardena, CA 90249-3147
Phone (310) 538-9280

Other identifiers 1

IdentifierTypeStateIssuer
103127OtherCACA HMDR

National Provider Directory

National Provider Directory

Locations

14612 Crenshaw Blvd
Gardena, CA 90249
Phone (310) 538-9280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240272000000",
    "number": "1982848925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14612 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493147",
            "telephone_number": "310-538-9280",
            "fax_number": "310-538-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14612 CRENSHAW BLVD",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902493147",
            "telephone_number": "310-538-9280",
            "fax_number": "310-538-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LATAY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-21",
        "last_updated": "2009-04-21",
        "status": "A",
        "authorized_official_last_name": "ADETOLA",
        "authorized_official_first_name": "BOLADEMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-538-9280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA HMDR",
            "identifier": "103127",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2009; 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.