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Organization

D&S MEDICAL SUPPLIES CO.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOPHIA SYVORAVONG (DIRECTOR)
(714) 535-0601
Entity
Organization

Contact information

Practice address
1745 W LA PALMA AVE, ANAHEIM, CA 92801-3529
(714) 535-0601
(714) 535-6801
Mailing address
1745 W LA PALMA AVE, ANAHEIM, CA 92801-3529
(714) 535-0601
(714) 535-6801

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
46458
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
46458
HMDR LINCENSE
CA
Enumeration date
03/06/2007
Last updated
06/21/2018
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