# SIERRA MEDICAL SUPPLY INC.

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

## Provider details

- **NPI number:** 1881835908
- **Authorized official:** ROTHELL O. WILLIAMS JR. (DIRECTOR)
- **Authorized official phone:** (661) 250-2510

## Contact information

- **Practice address:** 17812 SIERRA HWY, STE C, SANTA CLARITA, CA 91351-1645
- **Practice address phone:** (661) 250-2510
- **Practice address fax:** (661) 250-2509
- **Mailing address:** 17812 SIERRA HWY, STE C, SANTA CLARITA, CA 91351-1645
- **Mailing address phone:** (661) 250-2510
- **Mailing address fax:** (661) 250-2509

## Taxonomy

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

## Other

- **Enumeration date:** 03/19/2009
- **Last updated:** 03/18/2010