Healthcare Provider Details

I. General information

NPI: 1932553310
Provider Name (Legal Business Name): NNE MEDICAL SUPPLY AND EQUIPMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2016
Last Update Date: 01/24/2022
Certification Date: 01/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 N EUCLID ST
ANAHEIM CA
92801-4623
US

IV. Provider business mailing address

617 N EUCLID ST
ANAHEIM CA
92801-4623
US

V. Phone/Fax

Practice location:
  • Phone: 866-759-0683
  • Fax: 866-759-0684
Mailing address:
  • Phone: 714-430-8570
  • Fax: 626-337-2006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: CHARINA G BERROYA
Title or Position: DIRECTOR
Credential:
Phone: 818-209-9172