# D MEDICAL SUPPLY INCORPORATED

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

## Provider details

- **NPI number:** 1407876287
- **Authorized official:** SERGEY S NESTERENKO (OWNER)
- **Authorized official phone:** (310) 216-6604

## Contact information

- **Practice address:** 5577 W MANCHESTER AVE, LOS ANGELES, CA 90045-4413
- **Practice address phone:** (310) 216-6604
- **Practice address fax:** (310) 216-6624
- **Mailing address:** 5577 W MANCHESTER AVE, LOS ANGELES, CA 90045-4413
- **Mailing address phone:** (310) 216-6604
- **Mailing address fax:** (310) 216-6624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 48714 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 06/19/2008