Healthcare Provider Details

I. General information

NPI: 1285546069
Provider Name (Legal Business Name): DAMON'S RENTALS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3910 WALTON AVE
LOS ANGELES CA
90037-1517
US

IV. Provider business mailing address

3307 W 71ST ST
LOS ANGELES CA
90043-4735
US

V. Phone/Fax

Practice location:
  • Phone: 310-754-5104
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. DAMON LAMON FREDIEU
Title or Position: OWNER
Credential:
Phone: 310-754-5104