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Organization
DELUXE MEDICAL SUPPLY LLC
Active
Organization
DELUXE MEDICAL SUPPLY LLC
Active
Parent organization
DELUXE MEDICAL SUPPLY LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DELUXE MEDICAL SUPPLY LLC
Authorized official
ALINA TYMOSHENKO (RIVERSIDE BRANCH MANAGER)
(949) 820-5454
Entity
Organization
Contact information
Practice address
4240 LATHAM ST STE E, RIVERSIDE, CA 92501-1741
(951) 344-3777
(951) 344-3773
Mailing address
7474 EL CAJON BLVD, LA MESA, CA 91942-7420
(619) 741-5901
(619) 741-5910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
02/04/2025
Last updated
09/17/2026
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