# EXPRESS MEDICAL SUPPLY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003861329
- **Authorized official:** EDUARDO MAGLONCIO DEOCAMPO (ADMINISTRATOR/MANAGING PARTNER)
- **Authorized official phone:** (619) 423-2600

## Contact information

- **Practice address:** 639 MARSAT CT, SUITE B, CHULA VISTA, CA 91911-4678
- **Practice address phone:** (619) 423-2600
- **Practice address fax:** (619) 423-2681
- **Mailing address:** 1254 LINDSAY ST, CHULA VISTA, CA 91913-1431
- **Mailing address phone:** (619) 423-2600
- **Mailing address fax:** (619) 423-2681

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 49252 | CA | Yes |

## Other

- **Enumeration date:** 05/24/2006
- **Last updated:** 06/17/2009