Provider Demographics
NPI:1245422922
Name:YEMI OGUNTOLU
Entity Type:Organization
Organization Name:YEMI OGUNTOLU
Other - Org Name:GLOBAL AID MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:YEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNTOLU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-881-1136
Mailing Address - Street 1:16057 SHERMAN WAY
Mailing Address - Street 2:278
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91406-4023
Mailing Address - Country:US
Mailing Address - Phone:818-881-1136
Mailing Address - Fax:
Practice Address - Street 1:16057 SHERMAN WAY
Practice Address - Street 2:278
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-3509
Practice Address - Country:US
Practice Address - Phone:818-881-1136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332BOOOOOX332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4555100001Medicare NSC