Organization
LUTEMI MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLUFUNKE IBIYEMI FADOJUTIMI (DIRECTOR)
(310) 324-9265
Entity
Organization
Contact information
Practice address
550 E CARSON PLAZA DR, SUITE #125, CARSON, CA 90746-3229
(310) 324-9265
Mailing address
550 E CARSON PLAZA DR, SUITE #125, CARSON, CA 90746-3229
(310) 324-9265
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103363
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2695436
—
CA
Enumeration date
01/13/2006
Last updated
08/22/2020
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