Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Formulation Materials

Organization Durable Medical Equipment & Medical Supplies · NPI 1609712728

Formulation Materials is a Durable Medical Equipment & Medical Supplies in Phelan, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

9121 Darwin Rd
Phelan, CA 92371-9294
Phone: (213) 800-9815
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1609712728
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darryl Lateef Johnson — Ceo · (213) 800-9815
NPI enumeratedApril 29, 2026
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026
Mailing address9121 Darwin Rd, Phelan, CA 92371-9294

Other providers in Phelan