Individual
MR. MEDUOYE O. OMOYELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 S HAYWORTH AVE STE 216, LOS ANGELES, CA 90035-4814
(323) 933-9105
(323) 933-9384
Mailing address
1400 S HAYWORTH AVE STE 216, LOS ANGELES, CA 90035-4814
(323) 933-9105
(323) 933-9384
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
CA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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