TENNI-MOC'S SHOE STORE INC NPI 1710504022

NPI Information

TENNI-MOC'S SHOE STORE INC is a durable medical equipment medical supplies in Long Beach, 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. TENNI-MOC'S SHOE STORE INC NPI is 1710504022. The provider is registered as an organization entity type.

The provider's business location address is:

6536 E SPRING ST
LONG BEACH, CA
ZIP 90815-554
Phone: (562) 429-7777

The provider's authorized official is Matthew Maltezos .
The authorized official title is Cfo and has the following contact phone number (562) 429-7777.

The enumeration date for this NPI number is 7/2/2020 and was last updated on 7/2/2020.

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:

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