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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up