# SOUTH BAY DME, LLC

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

## Provider details

- **NPI number:** 1598147332
- **Authorized official:** JOSHUA CLEVELAND (OWNER)
- **Authorized official phone:** (310) 418-0308

## Contact information

- **Practice address:** 285 W 6TH ST APT 511, SAN PEDRO, CA 90731-3381
- **Practice address phone:** (310) 418-0308
- **Practice address fax:** (310) 921-5660
- **Mailing address:** 28364 S WESTERN AVE \# 482, RANCHO PALOS VERDES, CA 90275-1434
- **Mailing address phone:** (310) 418-0308
- **Mailing address fax:** (310) 921-5660

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 78487 | CA | Yes |

## Other

- **Enumeration date:** 06/28/2015
- **Last updated:** 04/18/2016