Provider Demographics
NPI:1689183535
Name:DMEDICAL SOLUTIONS, LLC.
Entity Type:Organization
Organization Name:DMEDICAL SOLUTIONS, LLC.
Other - Org Name:DMEDICAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NYCOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:STEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-303-2034
Mailing Address - Street 1:5062 LANKERSHIM BLVD # 2034
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-4225
Mailing Address - Country:US
Mailing Address - Phone:424-303-2034
Mailing Address - Fax:
Practice Address - Street 1:11507 OXNARD ST STE 6
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91606-4185
Practice Address - Country:US
Practice Address - Phone:424-303-2034
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-22
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========OtherTIN