# MERCURY PLUS CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Emerson Nutritional & Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386968907
- **Authorized official:** MR. CARLOS P DIZON (CEO)
- **Authorized official phone:** (310) 266-1408

## Contact information

- **Practice address:** 4339 SHOPPING LN, SIMI VALLEY, CA 93063-2948
- **Practice address phone:** (805) 578-9088
- **Practice address fax:** (805) 578-9288
- **Mailing address:** 4339 SHOPPING LN, SIMI VALLEY, CA 93063-2948
- **Mailing address phone:** (805) 578-9088
- **Mailing address fax:** (805) 578-9288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 03/25/2010