Healthcare Provider Details

I. General information

NPI: 1972735322
Provider Name (Legal Business Name): MEDITECH SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2009
Last Update Date: 08/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15068 ROSECRANS AVE # 280
LA MIRADA CA
90638-4740
US

IV. Provider business mailing address

17332 IRVINE BLVD STE 287
TUSTIN CA
92780-3063
US

V. Phone/Fax

Practice location:
  • Phone: 714-547-4747
  • Fax: 714-844-4300
Mailing address:
  • Phone: 714-547-4747
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number51801
License Number StateCA

VIII. Authorized Official

Name: MS. LINA RODRIGUEZ
Title or Position: PRESIDENT
Credential:
Phone: 714-547-4747