Organization
DURU MEDICAL SUPPLIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYKE DURU (MANAGING DIRECTOR)
(323) 789-6100
Entity
Organization
Contact information
Practice address
1704 W MANCHESTER AVE, SUITE 207E, LOS ANGELES, CA 90047-3077
(323) 789-6100
(323) 759-0440
Mailing address
1704 W MANCHESTER AVE, SUITE 207E, LOS ANGELES, CA 90047-3077
(323) 789-6100
(323) 759-0440
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
50332
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101-121936
SELLER'S PERMIT
CA
Enumeration date
08/30/2008
Last updated
05/05/2010
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