| NPI | 1497648711 | 
|---|---|
| Doing Business As | RIVERSIDE MEDICAL SUPPLY | 
| Entity Type | Organization | 
| Authorized Contact | DAVID W LEE Owner/CEO 562-254-7824  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies | 
| Enumeration Date | 2025-06-03 | 
| Last Update Date | 2025-06-03 |