# GOLD MEDICAL SUPPLIES INC.

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

## Provider details

- **NPI number:** 1134647670
- **Authorized official:** THEODORE SEMENIUTA JD, LLM (REGIONAL DIRECTOR)
- **Authorized official phone:** (424) 465-3700

## Contact information

- **Practice address:** 1450 2ND ST, SANTA MONICA, CA 90401-2302
- **Practice address phone:** (424) 465-3700
- **Mailing address:** 1223 WILSHIRE BLVD \# 980, SANTA MONICA, CA 90403-5406

## Taxonomy

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

## Other

- **Enumeration date:** 09/05/2017
- **Last updated:** 09/05/2017