Organization
MEDTECH MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLAWALE AYOOLA OYETIBO (OFFICER)
(626) 962-7580
Entity
Organization
Contact information
Practice address
1331 W GARVEY AVE N, WEST COVINA, CA 91790-2242
(626) 962-7580
(626) 960-1659
Mailing address
PO BOX 2098, POMONA, CA 91769-2098
(909) 948-5895
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
49380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME03096F
MEDICAL-CROSSOVER
CA
Enumeration date
04/18/2006
Last updated
02/05/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up