MEDICARE: DESERT MOBILITY EQUIPMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043034036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT MOBILITY EQUIPMENT LLC

Provider Business Mailing Address
First Line	:	1531 FORD DR
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1602
Country	:	US
Telephone Number	:	760-389-7787
Fax Number	:	760-389-7907

Provider Business Practice Location Address
First Line	:	1531 FORD DR STE A
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-1602
Country	:	US
Telephone Number	:	760-389-7787
Fax Number	:	760-389-7907

Authorized Official
Title or Position	:	CEO
Name	:	LIDIA BONILLA
Credential	:
Telephone Number	:	760-389-7787

Provider Enumeration Date	:	11/14/2024
Last Update Date	:	12/08/2025

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Directions to “DESERT MOBILITY EQUIPMENT LLC ” Practice Location

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