Organization
DW MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREGE WORKU (PRESIDENT)
(310) 330-0162
Entity
Organization
Contact information
Practice address
316 1/2 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1815
(310) 330-0162
(310) 330-0199
Mailing address
316 1/2 E MANCHESTER BLVD, INGLEWOOD, CA 90301-1815
(310) 330-0162
(310) 330-0199
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47555
CA
Other
Enumeration date
06/25/2007
Last updated
03/05/2026
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