# D R MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1184794596
- **Authorized official:** MR. DARREN RUTH (OWNER)
- **Authorized official phone:** (805) 857-0613

## Contact information

- **Practice address:** 5552 RANTHOM AVE, WOODLAND HILLS, CA 91367-3958
- **Practice address phone:** (805) 857-0613
- **Practice address fax:** (805) 435-0432
- **Mailing address:** 5552 RANTHOM AVE, WOODLAND HILLS, CA 91367-3958
- **Mailing address phone:** (805) 857-0613
- **Mailing address fax:** (805) 435-0432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | — | CA | — |

## Other

- **Enumeration date:** 11/09/2006
- **Last updated:** 02/17/2009