# WESTSIDE MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1245329721
- **Authorized official:** IROEGBU BOBBY ACHARA (PRESIDENT)
- **Authorized official phone:** (661) 974-8307

## Contact information

- **Practice address:** 44300 DIVISION ST STE B, LANCASTER, CA 93535-3512
- **Practice address phone:** (661) 974-8307
- **Practice address fax:** (661) 974-8308
- **Mailing address:** 38713 TIERRA SUBIDA AVE STE 200-192, PALMDALE, CA 93551-4562
- **Mailing address phone:** (661) 974-8307
- **Mailing address fax:** (661) 974-8308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45517 | CA | Yes |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 03/14/2008