Organization
DESTINY MEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE OMUVWIE (PRESIDENT)
(310) 672-1002
Entity
Organization
Contact information
Practice address
301 N PRAIRIE AVE, SUITE 125, INGLEWOOD, CA 90301-4507
(310) 672-1002
(310) 672-1074
Mailing address
301 N PRAIRIE AVE, SUITE 125, INGLEWOOD, CA 90301-4507
(310) 672-1002
(310) 672-1074
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46871
CA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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