# BLUE BRIDGE DME SUPPLIER LLC

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

## Provider details

- **NPI number:** 1124935275
- **Authorized official:** MR. DARIUS AARON COX (OWNER)
- **Authorized official phone:** (631) 784-3569

## Contact information

- **Practice address:** 11206 LA SALLE AVE, LOS ANGELES, CA 90047-4841
- **Practice address phone:** (631) 784-3569
- **Mailing address:** 11206 LA SALLE AVE, LOS ANGELES, CA 90047-4841
- **Mailing address phone:** (631) 784-3569

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2026
- **Last updated:** 08/31/2026
