Organization
D MEDICAL SUPPLY INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SERGEY S NESTERENKO (OWNER)
(310) 216-6604
Entity
Organization
Contact information
Practice address
5577 W MANCHESTER AVE, LOS ANGELES, CA 90045-4413
(310) 216-6604
(310) 216-6624
Mailing address
5577 W MANCHESTER AVE, LOS ANGELES, CA 90045-4413
(310) 216-6604
(310) 216-6624
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48714
CA
Other
Enumeration date
07/21/2006
Last updated
06/19/2008
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