# MASTER MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1164690673
- **Authorized official:** RAUL ANON (OWNER)
- **Authorized official phone:** (805) 564-8080

## Contact information

- **Practice address:** 910 E HALEY ST, SANTA BARBARA, CA 93103-2550
- **Practice address phone:** (805) 564-8080
- **Practice address fax:** (805) 564-8084
- **Mailing address:** PO BOX 43360, SANTA BARBARA, CA 93140-3360
- **Mailing address phone:** (805) 564-8080
- **Mailing address fax:** (805) 564-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 043596110 | CA | Yes |

## Other

- **Enumeration date:** 02/19/2008
- **Last updated:** 02/19/2008