MAIN SOURCE MEDICAL SUPPLY NPI 1932485406

NPI Information

  • NPI: 1932485406
  • Provider Name: MAIN SOURCE MEDICAL SUPPLY
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 3624 RANDEE WAY
    FULLERTON, CA
    ZIP 92833
  • Phone: (714) 584-0127

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NPI Details

MAIN SOURCE MEDICAL SUPPLY is a durable medical equipment medical supplies in Fullerton, 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. MAIN SOURCE MEDICAL SUPPLY NPI is 1932485406. The provider is registered as an organization entity type.

The provider's business location address is:

3624 RANDEE WAY
FULLERTON, CA
ZIP 92833-830
Phone: (714) 584-0127

The provider's authorized official is Jorge Lomeli .
The authorized official title is Owner and has the following contact phone number (714) 584-0127.

The enumeration date for this NPI number is 10/28/2011 and was last updated on 10/28/2011.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies563007CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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