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Organization
MODESOLA AKINBI
Active
Organization
MODESOLA AKINBI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MODESOLA BIMBO AKINBI (OWNER)
(310) 532-3080
Entity
Organization
Contact information
Practice address
13414 1/ 2 SO. AVALON BLVD, LOS ANGELES, CA 90061-2231
(310) 532-3080
(310) 532-3080
Mailing address
13414 1/ 2 SO. AVALON BLVD, LOS ANGELES, CA 90061-2231
(310) 532-3080
(310) 532-3080
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45311
CA
Other
Enumeration date
07/20/2006
Last updated
05/07/2011
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