Healthcare Provider Details

I. General information

NPI: 1861270894
Provider Name (Legal Business Name): EXOMED, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2023
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10061 TALBERT AVE STE 380
FOUNTAIN VALLEY CA
92708-5159
US

IV. Provider business mailing address

10061 TALBERT AVE STE 380
FOUNTAIN VALLEY CA
92708-5159
US

V. Phone/Fax

Practice location:
  • Phone: 714-248-5482
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: LINSY ENRIQUEZ
Title or Position: CEO
Credential:
Phone: 714-248-5482