# PRIMECARE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1043234545
- **Authorized official:** DELE CASSIUS SILVA (OWNER)
- **Authorized official phone:** (661) 424-0952

## Contact information

- **Practice address:** 27013 LANGSIDE AVE STE C, SANTA CLARITA, CA 91351-2557
- **Practice address phone:** (661) 424-0952
- **Practice address fax:** (661) 424-0965
- **Mailing address:** 27013 LANGSIDE AVE STE C, SANTA CLARITA, CA 91351-2557
- **Mailing address phone:** (661) 424-0952
- **Mailing address fax:** (661) 424-0965

## Taxonomy

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

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 08/22/2020