Provider Demographics
NPI:1376771493
Name:BEEYOM MEDICAL SUPPLY, INC
Entity Type:Organization
Organization Name:BEEYOM MEDICAL SUPPLY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGUNDIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-881-5400
Mailing Address - Street 1:18341 SHERMAN WAY STE 211
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4473
Mailing Address - Country:US
Mailing Address - Phone:818-881-5400
Mailing Address - Fax:818-881-5402
Practice Address - Street 1:18341 SHERMAN WAY STE 211
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4473
Practice Address - Country:US
Practice Address - Phone:818-881-5400
Practice Address - Fax:818-881-5402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies