Organization
ABIODUN A TOKAN
Active
Other names
ABIBOL MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ABIODUN ADEBOLA TOKAN (DIRECTOR)
(323) 296-1449
Entity
Organization
Contact information
Practice address
2619 W SLAUSON AVE, LOS ANGELES, CA 90043-3249
(323) 296-1449
(323) 296-4525
Mailing address
2619 W SLAUSON AVE, LOS ANGELES, CA 90043-3249
(323) 296-1449
(323) 296-4525
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
0002280332-0001-4
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48605
CALIFORNIA HOME MEDICAL DEVICE LICENSE
CA
01
—
6475030001
MEDICARE NSC PTAN 6475030001
—
Enumeration date
02/27/2008
Last updated
02/16/2011
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