Provider Demographics
NPI:1043291040
Name:FIRSTOP MEDICAL EQUIPMENT AND SUPPLIES
Entity Type:Organization
Organization Name:FIRSTOP MEDICAL EQUIPMENT AND SUPPLIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OJO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:562-263-3599
Mailing Address - Street 1:17041 BELLFLOWER BLVD
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5951
Mailing Address - Country:US
Mailing Address - Phone:562-263-3599
Mailing Address - Fax:562-263-3602
Practice Address - Street 1:17041 BELLFLOWER BLVD
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-5951
Practice Address - Country:US
Practice Address - Phone:562-263-3599
Practice Address - Fax:562-263-3602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103465332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4959080001Medicare NSC