Provider Demographics
NPI:1427059302
Name:DIRECT PATIENT SOLUTIONS
Entity type:Organization
Organization Name:DIRECT PATIENT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-602-5461
Mailing Address - Street 1:2539 W 237TH ST
Mailing Address - Street 2:SUITE # B
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-5239
Mailing Address - Country:US
Mailing Address - Phone:310-602-5461
Mailing Address - Fax:310-602-5471
Practice Address - Street 1:2539 W 237TH ST
Practice Address - Street 2:SUITE # B
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5239
Practice Address - Country:US
Practice Address - Phone:310-602-5461
Practice Address - Fax:310-602-5471
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97960424332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4383890001Medicare ID - Type UnspecifiedMEDICARE PROVIDER #