Organization
BLOOM MEDICAL EQUIPMENT & SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUWADAMILARE OHONME (OWNER/CEO)
(310) 978-1255
Entity
Organization
Contact information
Practice address
14909 CRENSHAW BLVD STE 109, GARDENA, CA 90249-3663
(310) 978-1255
Mailing address
14909 CRENSHAW BLVD STE 109, GARDENA, CA 90249-3663
(310) 978-1255
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
49704
CA
Other
Enumeration date
04/11/2008
Last updated
03/25/2009
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