Organization
DELUXE MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YERKEN TENIZBAYEV (CEO)
(619) 741-5901
Entity
Organization
Contact information
Practice address
7474 EL CAJON BLVD, LA MESA, CA 91942-7420
(619) 741-5901
(619) 741-5910
Mailing address
7474 EL CAJON BLVD, LA MESA, CA 91942-7420
(619) 741-5901
(619) 741-5910
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
07/06/2011
Last updated
04/02/2025
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