# DE LOS ANGELES DME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DE LOS ANGELES DME, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114549011
- **Authorized official:** MR. MANUEL MIRANDA JR. (OWNER/MEMBER)
- **Authorized official phone:** (956) 616-3544

## Contact information

- **Practice address:** 1409 S 9TH AVE STE 311, EDINBURG, TX 78539-5527
- **Practice address phone:** (956) 616-3544
- **Mailing address:** 1409 S 9TH AVE STE 311, EDINBURG, TX 78539-5527
- **Mailing address phone:** (956) 616-3544

## Taxonomy

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

## Other

- **Enumeration date:** 05/13/2020
- **Last updated:** 05/13/2020