# TRIANA MEDICAL SUPPLY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1336473206
- **Authorized official:** MRS. LYNETTE ILEANA ATALLAH MBA (PRESIDENT)
- **Authorized official phone:** (619) 713-6800

## Contact information

- **Practice address:** 3855 AVOCADO BLVD, SUITE 160, LA MESA, CA 91941-7382
- **Practice address phone:** (619) 713-6800
- **Practice address fax:** (619) 639-0376
- **Mailing address:** 3855 AVOCADO BLVD, SUITE 160, LA MESA, CA 91941-7382
- **Mailing address phone:** (619) 713-6800
- **Mailing address fax:** (619) 639-0376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 51406 | CA | Yes |

## Other

- **Enumeration date:** 09/25/2009
- **Last updated:** 09/25/2009