MEDICARE: MINAKA, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1245414242
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINAKA, INC

Provider Business Mailing Address
First Line	:	24102 EL TORO RD STE I
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92637-3123
Country	:	US
Telephone Number	:	949-455-0404
Fax Number	:

Provider Business Practice Location Address
First Line	:	24102 EL TORO RD STE I
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92637-3123
Country	:	US
Telephone Number	:	949-455-0404
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAMRAN NAKHAEE
Credential	:
Telephone Number	:	949-455-0404

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	06/18/2008

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Directions to “MINAKA, INC ” Practice Location

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