# DELUXE MEDICAL SUPPLY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DELUXE MEDICAL SUPPLY, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538980479
- **Legal business name:** DELUXE MEDICAL SUPPLY, LLC
- **Authorized official:** MR. YERKEN TENIZBAYEV (MANAGING MEMBER)
- **Authorized official phone:** (619) 550-7321

## Contact information

- **Practice address:** 2401 HIGHLAND AVENUE, SUITE 108, NATIONAL CITY, CA 91950-7071
- **Practice address phone:** (619) 741-5901
- **Practice address fax:** (619) 741-5910
- **Mailing address:** 7474 EL CAJON BLVD, LA MESA, CA 91942-7420
- **Mailing address phone:** (619) 741-5901
- **Mailing address fax:** (619) 741-5910

## Taxonomy

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

## Other

- **Enumeration date:** 10/23/2024
- **Last updated:** 07/09/2025