MEDICARE: SD MEDICAL SOLUTIONS 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	:	1427854900
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SD MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1420 KETTNER BLVD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2432
Country	:	US
Telephone Number	:	858-222-3556
Fax Number	:

Provider Business Practice Location Address
First Line	:	1420 KETTNER BLVD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-2432
Country	:	US
Telephone Number	:	858-222-3556
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SAAD ABDRABOU ABDELRA METWALLY
Credential	:
Telephone Number	:	858-222-3556

Provider Enumeration Date	:	02/24/2025
Last Update Date	:	02/24/2025

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Directions to “SD MEDICAL SOLUTIONS LLC ” Practice Location

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