Provider Demographics
NPI:1942224357
Name:FELIX Y. AKINBI
Entity Type:Organization
Organization Name:FELIX Y. AKINBI
Other - Org Name:FAY MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR (OPERATION)
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:YEMI
Authorized Official - Last Name:AKINBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-988-2137
Mailing Address - Street 1:2272 PACIFIC AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806-4312
Mailing Address - Country:US
Mailing Address - Phone:562-988-2137
Mailing Address - Fax:562-424-7413
Practice Address - Street 1:2272 PACIFIC AVE
Practice Address - Street 2:SUITE C
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-4312
Practice Address - Country:US
Practice Address - Phone:562-988-2137
Practice Address - Fax:562-424-7413
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2010-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1321630001Medicare NSC