# AJIBOLA A SADIQR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** COOPER MEDICAL SUPPLY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073624714
- **Authorized official:** MR. AJIBOLA A SADIQR (OWNER)
- **Authorized official phone:** (818) 888-0724

## Contact information

- **Practice address:** 7210 REMMET AVE, CANOGA PARK, CA 91303-1531
- **Practice address phone:** (818) 888-0724
- **Practice address fax:** (818) 888-9021
- **Mailing address:** 7210 REMMET AVE, CANOGA PARK, CA 91303-1531
- **Mailing address phone:** (818) 888-0724
- **Mailing address fax:** (818) 888-9021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 47081 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 06/13/2008