# SMART DME AND SUPPLIES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SMART MEDICAL SUPPLIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811131816
- **Authorized official:** MR. AMANTEFLOR PERCIVAL VILLANUEVA (PRESIDENT/CEO)
- **Authorized official phone:** (818) 324-0019

## Contact information

- **Practice address:** 18701 PARTHENIA ST STE 3, NORTHRIDGE, CA 91324-3814
- **Practice address phone:** (818) 324-0019
- **Practice address fax:** (818) 772-9685
- **Mailing address:** 18701 PARTHENIA ST STE 3, NORTHRIDGE, CA 91324-3814
- **Mailing address phone:** (818) 324-0019
- **Mailing address fax:** (818) 772-9685

## Taxonomy

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

## Other

- **Enumeration date:** 04/22/2009
- **Last updated:** 04/22/2009