Healthcare Provider Details
I. General information
NPI: 1164337218
Provider Name (Legal Business Name): BOX APPLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7290 EDINGER AVE UNIT 4013
HUNTINGTON BEACH CA
92647-0945
US
IV. Provider business mailing address
7290 EDINGER AVE UNIT 4013
HUNTINGTON BEACH CA
92647-0945
US
V. Phone/Fax
- Phone: 202-989-1081
- Fax:
- Phone: 202-989-1081
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ALEXANDER
MATSUKA
Title or Position: CEO
Credential:
Phone: 202-989-1081