# PREMIER MEDICAL SUPPLY SERVICES, LLC

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

## Provider details

- **NPI number:** 1235261553
- **Authorized official:** MRS. MARY K FADIPE (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (323) 750-7885

## Contact information

- **Practice address:** 2630 W. MANCHESTER BLVD, SUITE C, INGLEWOOD, CA 90305-2434
- **Practice address phone:** (323) 750-7885
- **Practice address fax:** (323) 750-7890
- **Mailing address:** 2630 W. MANCHESTER BLVD, SUITE C, INGLEWOOD, CA 90305-2434
- **Mailing address phone:** (323) 750-7885
- **Mailing address fax:** (323) 750-7890

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 46433 | CA | Yes |

## Other

- **Enumeration date:** 03/12/2007
- **Last updated:** 11/04/2007