MEDICAL STORE NPI 1992876502

NPI Information

MEDICAL STORE is a durable medical equipment medical supplies in Costa Mesa, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MEDICAL STORE NPI is 1992876502. The provider is registered as an organization entity type.

The provider's business location address is:

333 E 17TH ST
SUITE 23
COSTA MESA, CA
ZIP 92627-220
Phone: (949) 722-1128
Fax: (949) 722-1315

The provider's authorized official is Kenneth Arthur Kreindel .
The authorized official title is Owner and has the following contact phone number (949) 722-1128.

The enumeration date for this NPI number is 11/13/2006 and was last updated on 6/27/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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