# MEDICAL SUPPLY DEPOT

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

## Provider details

- **NPI number:** 1487683942
- **Authorized official:** MR. NORBERTO PURUGGANAN BARROGA (PRESIDENT)
- **Authorized official phone:** (323) 773-6522

## Contact information

- **Practice address:** 4846 FLORENCE AVE, SUITE \#B104, BELL, CA 90201-4317
- **Practice address phone:** (323) 773-6522
- **Practice address fax:** (323) 773-8950
- **Mailing address:** 4846 FLORENCE AVE., SUITE \#B104, BELL, CA 90201-4399
- **Mailing address phone:** (323) 773-6522
- **Mailing address fax:** (323) 773-8950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 44656 | CA | Yes |
| 3336C0003X | Community/Retail Pharmacy | PHY 50801 | CA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | — |

## Other

- **Enumeration date:** 06/30/2006
- **Last updated:** 02/03/2012