Healthcare Provider Details

I. General information

NPI: 1255043303
Provider Name (Legal Business Name): ANCHOR MEDICAL SUPPLY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41715 ELM ST STE 102
MURRIETA CA
92562-1400
US

IV. Provider business mailing address

41715 ELM ST STE 102
MURRIETA CA
92562-1400
US

V. Phone/Fax

Practice location:
  • Phone: 951-256-4828
  • Fax: 866-256-6258
Mailing address:
  • Phone: 951-256-4828
  • Fax: 866-256-6258

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: SAMANTHA CALLEJAS
Title or Position: PRESIDENT
Credential:
Phone: 951-256-4828