# MICROTEL LLC

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

## Provider details

- **NPI number:** 1194697052
- **Authorized official:** MR. FAIQ ALI CEO (CEO)
- **Authorized official phone:** (424) 492-2864

## Contact information

- **Practice address:** 374 W ABBEY LN, MOUNTAIN HOUSE, CA 95391-1314
- **Practice address phone:** (209) 741-6123
- **Mailing address:** 374 W ABBEY LN, MOUNTAIN HOUSE, CA 95391-1314
- **Mailing address phone:** (424) 492-2864

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2025
- **Last updated:** 09/23/2025