# SHERMAN OAKS MEDICAL SUPPLIES, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1215377783
- **Authorized official:** MR. JACK KELL (PRESIDENT/CEO)
- **Authorized official phone:** (818) 896-9996

## Contact information

- **Practice address:** 10725 SAN FERNANDO RD, SUITE 100, PACOIMA, CA 91331-2628
- **Practice address phone:** (818) 896-9996
- **Practice address fax:** (818) 896-4851
- **Mailing address:** 10725 SAN FERNANDO RD, SUITE 100, PACOIMA, CA 91331-2628
- **Mailing address phone:** (818) 896-9996
- **Mailing address fax:** (818) 896-4851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 59563 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2013
- **Last updated:** 06/28/2013