Provider Demographics
NPI:1194245241
Name:D&M MEDICAL SUPPLY, LLC
Entity type:Organization
Organization Name:D&M MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RODELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUNANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-474-8311
Mailing Address - Street 1:13321 ALONDRA BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:SANTA FE SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:90670-7016
Mailing Address - Country:US
Mailing Address - Phone:562-474-8311
Mailing Address - Fax:562-474-8321
Practice Address - Street 1:13321 ALONDRA BLVD STE I
Practice Address - Street 2:
Practice Address - City:SANTA FE SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:90670-7016
Practice Address - Country:US
Practice Address - Phone:562-474-8311
Practice Address - Fax:562-474-8321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-20
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies