Organization
LATAY MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOLADEMI ADETOLA (PRESIDENT)
(310) 538-9280
Entity
Organization
Contact information
Practice address
14612 CRENSHAW BLVD, GARDENA, CA 90249-3147
(310) 538-9280
(310) 538-9257
Mailing address
14612 CRENSHAW BLVD, GARDENA, CA 90249-3147
(310) 538-9280
(310) 538-9257
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103127
CA HMDR
CA
Enumeration date
04/21/2009
Last updated
04/21/2009
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