# DOCTOR DME, LLC

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

## Provider details

- **NPI number:** 1063755478
- **Authorized official:** SULTANA CRAIGHEAD (CORRESPONDENT)
- **Authorized official phone:** (805) 498-6888

## Contact information

- **Practice address:** 2363 TELLER RD, \#114, NEWBURY PARK, CA 91320-2228
- **Practice address phone:** (805) 498-6888
- **Practice address fax:** (805) 498-2888
- **Mailing address:** 2363 TELLER RD, \#114, NEWBURY PARK, CA 91320-2228
- **Mailing address phone:** (805) 498-6888
- **Mailing address fax:** (805) 498-2888

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2013
- **Last updated:** 04/03/2013