Organization
D R MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN RUTH (OWNER)
(805) 857-0613
Entity
Organization
Contact information
Practice address
5552 RANTHOM AVE, WOODLAND HILLS, CA 91367-3958
(805) 857-0613
(805) 435-0432
Mailing address
5552 RANTHOM AVE, WOODLAND HILLS, CA 91367-3958
(805) 857-0613
(805) 435-0432
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
332BC3200X
Customized Equipment (DME)
—
CA
Other
Enumeration date
11/09/2006
Last updated
02/17/2009
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