Individual
REGINALD N. ADIMORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2507 W 54TH ST, LOS ANGELES, CA 90043-2612
(323) 292-2700
(310) 219-0653
Mailing address
2507 W 54TH ST, LOS ANGELES, CA 90043-2612
(323) 292-2700
(310) 219-0653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46549
CA
Other
Enumeration date
09/30/2008
Last updated
04/06/2009
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