Organization
DIRECT MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHEILA HARRY (DIRECTOR)
(818) 902-0665
Entity
Organization
Contact information
Practice address
13615 VICTORY BLVD STE 111, VAN NUYS, CA 91401-1770
(818) 902-0665
Mailing address
13615 VICTORY BLVD STE 111, VAN NUYS, CA 91401-1770
(818) 902-0665
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
103043
CA
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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