Healthcare Provider Details

I. General information

NPI: 1417093121
Provider Name (Legal Business Name): MEDINNOVATIONS INTERNATIONAL INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 03/30/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 ZANELLA WAY STE 30
CHICO CA
95928-7194
US

IV. Provider business mailing address

2540 ZANELLA WAY STE 30
CHICO CA
95928-7194
US

V. Phone/Fax

Practice location:
  • Phone: 530-342-6800
  • Fax:
Mailing address:
  • Phone: 530-342-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MS. KRISTI LEE SONSTEBY
Title or Position: CEO
Credential: R.N.
Phone: 530-828-5153