Organization
FREDS DME SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SENITA (OWNER)
(323) 376-0304
Entity
Organization
Contact information
Practice address
2300 STANLEY HILLS DR, LOS ANGELES, CA 90046-1534
(323) 376-0304
Mailing address
2300 STANLEY HILLS DR, LOS ANGELES, CA 90046-1534
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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