Provider Demographics
NPI:1528387081
Name:ONE STOP MEDICAL SUPPLY, INC.
Entity Type:Organization
Organization Name:ONE STOP MEDICAL SUPPLY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:DESHOUN
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-677-9922
Mailing Address - Street 1:115 1/2 E ARBOR VITAE ST
Mailing Address - Street 2:
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90301-3839
Mailing Address - Country:US
Mailing Address - Phone:310-677-9922
Mailing Address - Fax:310-677-9923
Practice Address - Street 1:115 1/2 E ARBOR VITAE ST
Practice Address - Street 2:
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90301-3839
Practice Address - Country:US
Practice Address - Phone:310-677-9922
Practice Address - Fax:310-677-9923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies