Organization
SOUTH BAY DME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA CLEVELAND (OWNER)
(310) 418-0308
Entity
Organization
Contact information
Practice address
285 W 6TH ST APT 511, SAN PEDRO, CA 90731-3381
(310) 418-0308
(310) 921-5660
Mailing address
28364 S WESTERN AVE # 482, RANCHO PALOS VERDES, CA 90275-1434
(310) 418-0308
(310) 921-5660
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
78487
CA
Other
Enumeration date
06/28/2015
Last updated
04/18/2016
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