Organization
DOMTEK MEDICAL&ALLIED SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATSON OLADE (OPERATIONS MANAGER)
(323) 242-7523
Entity
Organization
Contact information
Practice address
2930 W IMPERIAL HWY STE 200I, INGLEWOOD, CA 90303-3142
(323) 242-7523
(323) 242-7523
Mailing address
2930 W IMPERIAL HWY STE 200I, INGLEWOOD, CA 90303-3142
(323) 242-7523
(323) 242-7523
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103058
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103058
HOME MEDICAL DEVICE RETAI
CA
Enumeration date
07/23/2006
Last updated
08/22/2020
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