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Lawal Abiodun Ibrahim-balogun
Durable Medical Equipment & Medical Supplies in San Bernardino, California
NPI 1669640082

Lawal Abiodun Ibrahim-balogun is a Durable Medical Equipment & Medical Supplies based in San Bernardino, CA. Lawal Abiodun Ibrahim-balogun practices in San Bernardino, CA. The NPI Number for Lawal Abiodun Ibrahim-balogun is 1669640082 and holds a License No. 48762 (California).

The current practice location address for Lawal Abiodun Ibrahim-balogun is 1525 N D St, San Bernardino, CA and can be reached out via phone at 909-386-3657 and via fax at 909-388-9173.

Location: 1525 N D St, San Bernardino, CA, 92405-4722
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669640082
Provider Name
Lawal Abiodun Ibrahim-balogun
Credential
Provider Entity Type
Individual
Gender
Male
Address
1525 N D St, San Bernardino, CA, 92405-4722
Phone Number
909-386-3657
Fax Number
909-388-9173
Provider Enumeration Date
02/19/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1525 N D St
City
San Bernardino
State
California
Zip
92405-4722
Phone Number
909-386-3657
Fax Number
909-388-9173
person
Provider Business Mailing Address Details
Address
1525 N D St
City
San Bernardino
State
California
Zip
92405-4722
Phone Number
909-386-3657
Fax Number
909-388-9173
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
48762 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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