# MARISSAM MEDICAL INC.

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

## Provider details

- **NPI number:** 1588194534
- **Authorized official:** MARISSA J MOTLEY (OWNER)
- **Authorized official phone:** (424) 675-4222

## Contact information

- **Practice address:** 13508 INGLEWOOD AVE, HAWTHORNE, CA 90250
- **Practice address phone:** (424) 675-4222
- **Practice address fax:** (424) 675-4224
- **Mailing address:** 13508 INGLEWOOD AVE, HAWTHORNE, CA 90250-5604
- **Mailing address phone:** (424) 675-4222
- **Mailing address fax:** (424) 675-4224

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 07/21/2022