# GEOFFERY ODEGA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** JOY MEDICAL SUPPLIES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114090693
- **Authorized official:** GEOFFERY ODEGA (OWNER)
- **Authorized official phone:** (714) 480-0098

## Contact information

- **Practice address:** 1905 E 17TH ST, STE 124, SANTA ANA, CA 92705-8628
- **Practice address phone:** (714) 480-0098
- **Practice address fax:** (714) 480-0081
- **Mailing address:** 1905 E 17TH ST, STE 124, SANTA ANA, CA 92705-8628
- **Mailing address phone:** (714) 480-0098
- **Mailing address fax:** (714) 480-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45855 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | 45855 | CA | — |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 06/19/2008