Organization
GLORY MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAYO OGUNMOLA (CO-OWNER)
(323) 293-4947
Entity
Organization
Contact information
Practice address
2912 W VERNON AVE, LOS ANGELES, CA 90008-4757
(323) 293-4947
(323) 293-4974
Mailing address
2912 W VERNON AVE, LOS ANGELES, CA 90008-4757
(323) 293-4947
(323) 293-4974
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103871
HMDR LICENCE
CA
Enumeration date
05/25/2006
Last updated
08/22/2020
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