# REGINALD N. ADIMORAH

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

## Provider details

- **NPI number:** 1144362401
- **Authorized official:** REGINALD N ADIMORAH (MANAGING DIRECTOR)
- **Authorized official phone:** (323) 292-2700

## Contact information

- **Practice address:** 2507 W 54TH ST, LOS ANGELES, CA 90043-2612
- **Practice address phone:** (323) 292-2700
- **Mailing address:** 2507 W 54TH ST, LOS ANGELES, CA 90043-2612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 46549 | CA | Yes |

## Other

- **Enumeration date:** 02/13/2007
- **Last updated:** 09/30/2008
