MEDICARE: BROOK & MANN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1235915943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOK & MANN

Provider Business Mailing Address
First Line	:	3269 SAN ANSELINE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-3846
Country	:	US
Telephone Number	:	209-432-5576
Fax Number	:	209-432-5590

Provider Business Practice Location Address
First Line	:	3269 SAN ANSELINE AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90808-3846
Country	:	US
Telephone Number	:	209-432-5576
Fax Number	:	209-432-5590

Authorized Official
Title or Position	:	CEO
Name	:	MUQEET DADABHOY
Credential	:
Telephone Number	:	209-432-5576

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	09/07/2023

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Directions to “BROOK & MANN ” Practice Location

Language	Start Address	Practice Location

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