# ENROMA MEDICAL SUPPLY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1619167095
- **Authorized official:** NORMA A REYES (MANAGING DIRECTOR)
- **Authorized official phone:** (310) 677-1377

## Contact information

- **Practice address:** 4076 W CENTURY BLVD, INGLEWOOD, CA 90304-1622
- **Practice address phone:** (310) 677-1377
- **Practice address fax:** (310) 677-6607
- **Mailing address:** 4076 W CENTURY BLVD, INGLEWOOD, CA 90304-1622
- **Mailing address phone:** (310) 677-1377
- **Mailing address fax:** (310) 677-6607

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 46985 | CA | Yes |

## Other

- **Enumeration date:** 07/31/2007
- **Last updated:** 02/22/2008