# DEPENDABLE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1063591139
- **Authorized official:** MR. OKU EFFIOM (OWNER)
- **Authorized official phone:** (760) 246-3549

## Contact information

- **Practice address:** 12036 BARTLETT AVE, SUITE B, ADELANTO, CA 92301-1733
- **Practice address phone:** (760) 246-3549
- **Practice address fax:** (760) 246-3592
- **Mailing address:** PO BOX 1192, ADELANTO, CA 92301-1141
- **Mailing address phone:** (760) 246-3549
- **Mailing address fax:** (760) 246-3592

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 43577 | CA | Yes |

## Other

- **Enumeration date:** 11/02/2006
- **Last updated:** 02/27/2008