# MEDEQUIP, INC

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

## Provider details

- **NPI number:** 1457003527
- **Authorized official:** SOREN LIND (PRESIDENT)
- **Authorized official phone:** (949) 443-4418

## Contact information

- **Practice address:** 9449 BALBOA AVE STE 102, SAN DIEGO, CA 92123-4336
- **Practice address phone:** (949) 443-4414
- **Practice address fax:** (949) 425-1738
- **Mailing address:** 27 BROOKLINE, ALISO VIEJO, CA 92656-1461
- **Mailing address phone:** (949) 443-4414
- **Mailing address fax:** (949) 425-1738

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 01/20/2022
- **Last updated:** 01/20/2022
