# MAUI MEDICAL, INC.

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

## Provider details

- **NPI number:** 1609982891
- **Authorized official:** EDDIE NEAGLE (PRESIDENT)
- **Authorized official phone:** (909) 877-1500

## Contact information

- **Practice address:** 317 W TULLOCK ST, RIALTO, CA 92376-7702
- **Practice address phone:** (909) 877-1500
- **Practice address fax:** (909) 746-0420
- **Mailing address:** 317 W TULLOCK ST, RIALTO, CA 92376-7702
- **Mailing address phone:** (909) 877-1500
- **Mailing address fax:** (909) 746-0420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 45385 | CA | Yes |

## Other

- **Enumeration date:** 08/22/2006
- **Last updated:** 04/14/2009
