# MEDICALSHOPPE.COM, INC.

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

## Provider details

- **NPI number:** 1265488522
- **Authorized official:** MR. WILSON A MARTINEZ BSC, LLB (CEO)
- **Authorized official phone:** (323) 340-3962

## Contact information

- **Practice address:** 2501 COLORADO BLVD, SUITE H, LOS ANGELES, CA 90041-1055
- **Practice address phone:** (323) 340-3962
- **Practice address fax:** (323) 340-3963
- **Mailing address:** 2501 COLORADO BLVD, SUITE H, LOS ANGELES, CA 90041-1055
- **Mailing address phone:** (323) 340-3962
- **Mailing address fax:** (323) 340-3963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44021 | CA | Yes |

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020