Organization
AJIBOLA A SADIQR
Active
Other names
COOPER MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AJIBOLA A SADIQR (OWNER)
(818) 888-0724
Entity
Organization
Contact information
Practice address
7210 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 888-0724
(818) 888-9021
Mailing address
7210 REMMET AVE, CANOGA PARK, CA 91303-1531
(818) 888-0724
(818) 888-9021
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47081
CA
Other
Enumeration date
08/31/2006
Last updated
06/13/2008
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