# HEAL MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1700663861
- **Authorized official:** JENNIE CASTRO (MANAGING MEMBER)
- **Authorized official phone:** (657) 500-2023

## Contact information

- **Practice address:** 17541 17TH ST STE 202, TUSTIN, CA 92780-1984
- **Practice address phone:** (657) 500-2023
- **Practice address fax:** (657) 667-1033
- **Mailing address:** 17541 17TH ST STE 202, TUSTIN, CA 92780-1984
- **Mailing address phone:** (657) 500-2023

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2023
- **Last updated:** 09/21/2023