# ADVANCE DME AND MEDICAL SUPPLIES, LLC

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

## Provider details

- **NPI number:** 1730811803
- **Authorized official:** MATTHEW VINCENT MONAHAN (CEO)
- **Authorized official phone:** (562) 640-1161

## Contact information

- **Practice address:** 670 SOUTH JEFFERSON ST,, STE. A, PLACENTIA, CA 92870
- **Practice address phone:** (833) 693-6393
- **Practice address fax:** (657) 216-2809
- **Mailing address:** 670 SOUTH JEFFERSON ST., STE. A, PLACENTIA, CA 92870
- **Mailing address phone:** (833) 693-6393
- **Mailing address fax:** (657) 216-2809

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2022
- **Last updated:** 06/28/2022