# MODESOLA AKINBI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619997061
- **Authorized official:** MODESOLA BIMBO AKINBI (OWNER)
- **Authorized official phone:** (310) 532-3080

## Contact information

- **Practice address:** 13414 1/ 2 SO. AVALON BLVD, LOS ANGELES, CA 90061-2231
- **Practice address phone:** (310) 532-3080
- **Practice address fax:** (310) 532-3080
- **Mailing address:** 13414 1/ 2 SO. AVALON BLVD, LOS ANGELES, CA 90061-2231
- **Mailing address phone:** (310) 532-3080
- **Mailing address fax:** (310) 532-3080

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45311 | CA | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 05/07/2011