# XPERIENCE MEDICAL INNOVATION

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

## Provider details

- **NPI number:** 1679718340
- **Authorized official:** MR. JOSEPH TUSIA (PRESIDENT)
- **Authorized official phone:** (818) 625-1624

## Contact information

- **Practice address:** 115 W 4TH ST PH 7, LONG BEACH, CA 90802-2374
- **Practice address phone:** (818) 625-1624
- **Mailing address:** 115 W 4TH ST PH 7, LONG BEACH, CA 90802-2374
- **Mailing address phone:** (818) 625-1624

## Taxonomy

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

## Other

- **Enumeration date:** 12/10/2008
- **Last updated:** 12/10/2008