# KRUIN MEDICAL PRODUCTS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SGV Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568465169
- **Authorized official:** MR. RENZ JACOB KUIPERS (PRESIDENT)
- **Authorized official phone:** (818) 787-0162

## Contact information

- **Practice address:** 14735 OXNARD ST, VAN NUYS, CA 91411-3124
- **Practice address phone:** (818) 787-0162
- **Practice address fax:** (818) 787-0173
- **Mailing address:** 14735 OXNARD ST, VAN NUYS, CA 91411-3124
- **Mailing address phone:** (818) 787-0162
- **Mailing address fax:** (818) 787-0173

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 013212 | CA | Yes |

## Other

- **Enumeration date:** 05/27/2005
- **Last updated:** 08/22/2020