# INNOVAMED INDUSTRIES LLC

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

## Provider details

- **NPI number:** 1619828902
- **Authorized official:** MR. ROMEO REYES LADERO JR. NP (EXECUTIVE MARKETING)
- **Authorized official phone:** (951) 521-2839

## Contact information

- **Practice address:** 38340 INNOVATION CT \# D-403, MURRIETA, CA 92563-2621
- **Practice address phone:** (951) 521-2839
- **Mailing address:** 38340 INNOVATION CT \# D-403, MURRIETA, CA 92563-2621
- **Mailing address phone:** (951) 521-2839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | — | NULL | — |

## Other

- **Enumeration date:** 02/04/2026
- **Last updated:** 02/04/2026