# LVN MEDICAL

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

## Provider details

- **NPI number:** 1578707014
- **Authorized official:** MR. MARTIN R DURAN LVN (OWNER)
- **Authorized official phone:** (619) 253-6514

## Contact information

- **Practice address:** 1127 MANZANA WAY, SAN DIEGO, CA 92139-1438
- **Practice address phone:** (619) 253-6514
- **Practice address fax:** (619) 568-3585
- **Mailing address:** 1127 MANZANA WAY, SAN DIEGO, CA 92139-1438
- **Mailing address phone:** (619) 253-6514
- **Mailing address fax:** (619) 568-3585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | B2009003649 | CA | Yes |

## Other

- **Enumeration date:** 04/28/2009
- **Last updated:** 04/28/2009