Healthcare Provider Details

I. General information

NPI: 1235679945
Provider Name (Legal Business Name): TNT MEDICAL MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 02/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3443 CAMINO DEL RIO S SUITE 212
SAN DIEGO CA
92108-3903
US

IV. Provider business mailing address

4636 EDGEWARE RD SUITE 212
SAN DIEGO CA
92116-4701
US

V. Phone/Fax

Practice location:
  • Phone: 619-487-9321
  • Fax: 844-754-3423
Mailing address:
  • Phone: 619-347-8052
  • Fax: 844-754-3423

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: MR. TIMOTHY JOHN MALONE
Title or Position: OWNER
Credential:
Phone: 619-347-8052