Healthcare Provider Details

I. General information

NPI: 1780535641
Provider Name (Legal Business Name): PROSUM DME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2026
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 ADAMS ST STE A23
RIVERSIDE CA
92504-4399
US

IV. Provider business mailing address

171 N ALTADENA DR STE 265
PASADENA CA
91107-7352
US

V. Phone/Fax

Practice location:
  • Phone: 747-201-9362
  • Fax: 818-390-7028
Mailing address:
  • Phone: 747-201-9362
  • Fax: 818-390-7028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: NAJEE COLEMAN
Title or Position: COO
Credential: RRT
Phone: 747-200-1417