# LEGACY DME

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

## Provider details

- **NPI number:** 1790654457
- **Authorized official:** MD FAYSAL AHMED (PRESIDENT)
- **Authorized official phone:** (213) 263-1687

## Contact information

- **Practice address:** 611 WILSHIRE BLVD STE 900-1007, LOS ANGELES, CA 90017-2928
- **Practice address phone:** (213) 263-1687
- **Mailing address:** 611 WILSHIRE BLVD STE 900-1007, LOS ANGELES, CA 90017-2928
- **Mailing address phone:** (213) 263-1687

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2025
- **Last updated:** 10/31/2025