# NEWPORT MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1437398070
- **Authorized official:** SAM U. LEE (GENERAL MANAGER)
- **Authorized official phone:** (714) 328-3167

## Contact information

- **Practice address:** 3414 W BALL RD STE D, ANAHEIM, CA 92804-3726
- **Practice address phone:** (714) 328-3167
- **Practice address fax:** (714) 316-1321
- **Mailing address:** PO BOX 3338, FULLERTON, CA 92834-3338
- **Mailing address phone:** (714) 328-3167
- **Mailing address fax:** (714) 316-1321

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 50773 | CA | Yes |

## Other

- **Enumeration date:** 02/04/2009
- **Last updated:** 02/04/2009