# MOTHER MANETEU MEDICAL SUPPLIES, INC

> 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:** 1407871189
- **Authorized official:** MR. JOSEPH NOUBOUDEM DONGMO (PRESIDENT)
- **Authorized official phone:** (818) 364-5581

## Contact information

- **Practice address:** 12601 SAN FERNANDO RD, SUITE F, SYLMAR, CA 91342-7733
- **Practice address phone:** (818) 364-5581
- **Practice address fax:** (818) 364-5582
- **Mailing address:** 12601 SAN FERNANDO RD, SUITE F, SYLMAR, CA 91342-7733
- **Mailing address phone:** (818) 364-5581
- **Mailing address fax:** (818) 364-5582

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103785 | CA | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 11/01/2007