Healthcare Provider Details

I. General information

NPI: 1023971413
Provider Name (Legal Business Name): MUNJELA GLOW INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

335 PLAZA CENTRAL
LOS ALTOS CA
94022-2900
US

IV. Provider business mailing address

335 PLAZA CENTRAL
LOS ALTOS CA
94022-2900
US

V. Phone/Fax

Practice location:
  • Phone: 650-887-4100
  • Fax:
Mailing address:
  • Phone: 650-887-4100
  • 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: MUNJELA RUMANNA
Title or Position: CEO
Credential: OWNER
Phone: 718-269-9743