# EL MONTE MEDICAL SUPPLY LLC.

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

## Provider details

- **NPI number:** 1245414515
- **Authorized official:** MR. ARTEM ANATOLYEVICH FADEEV (PRESIDENT)
- **Authorized official phone:** (626) 579-2500

## Contact information

- **Practice address:** 9663 GARVEY AVE, SUITE 124, SOUTH EL MONTE, CA 91733-1096
- **Practice address phone:** (626) 579-2500
- **Practice address fax:** (626) 579-2555
- **Mailing address:** 9663 GARVEY AVE, SUITE 124, SOUTH EL MONTE, CA 91733-1096
- **Mailing address phone:** (626) 579-2500
- **Mailing address fax:** (626) 579-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 28935 | CA | Yes |

## Other

- **Enumeration date:** 12/21/2007
- **Last updated:** 08/12/2011