# XS MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114220068
- **Authorized official:** DAVID NICKERSON (OWNER)
- **Authorized official phone:** (714) 726-5746

## Contact information

- **Practice address:** 230 MALVERN AVE, FULLERTON, CA 92832-1442
- **Practice address phone:** (714) 726-5746
- **Mailing address:** 230 MALVERN AVE, FULLERTON, CA 92832-1442
- **Mailing address phone:** (714) 726-5746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 12/15/2010
- **Last updated:** 12/15/2010