# GENERAL HOME MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1043249196
- **Authorized official:** MR. KAMBIZ YADIDI (PRESIDENT)
- **Authorized official phone:** (888) 311-0666

## Contact information

- **Practice address:** 717 LAKEFIELD RD STE D, WESTLAKE VILLAGE, CA 91361-2692
- **Practice address phone:** (888) 311-0666
- **Practice address fax:** (888) 611-0666
- **Mailing address:** 717 LAKEFIELD RD STE D, WESTLAKE VILLAGE, CA 91361-2692
- **Mailing address phone:** (888) 311-0666
- **Mailing address fax:** (888) 611-0666

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 76671 | CA | Yes |

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/22/2020