Oc Exclusive Medical Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

OC EXCLUSIVE MEDICAL SUPPLY LLC

Practice address

29224 Glasgow
Lake Elsinore, CA 92530-4791

Phone

(424) 367-8201

NPI assigned

May 15, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sajini Kanchana Laurensu Hewage

Title

Owner

Phone

(424) 367-8201

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747440000000",
    "number": "1992596159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29224 GLASGOW",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304791",
            "telephone_number": "424-367-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29224 GLASGOW",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304791",
            "telephone_number": "424-367-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OC EXCLUSIVE MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-17",
        "certification_date": "2025-05-17",
        "status": "A",
        "authorized_official_last_name": "LAURENSU HEWAGE",
        "authorized_official_first_name": "SAJINI",
        "authorized_official_middle_name": "KANCHANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "424-367-8201",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mysty Nichols
• Kerrie Lynn Nolasco, IMFT
• Sarah Jennifer Norvani-Tellez
• Angelica Noyes
• Nutritional Council
• Nathan Ocasio, COTA/L
• Edith Ochoa Bautista
• Lucas Odahlen, D.C.
• Michelle Oei, PHARM.D.
• Jeanna Marie Ogle

• Durable Medical Equipment & Medical Supplies in Lake Elsinore, CA
• Providers in Lake Elsinore, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.