# SERRANO MEDICAL EQUIPMENT AND SUPPLIS

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

## Provider details

- **NPI number:** 1750327698
- **Authorized official:** MRS. ANAMAE TORREDA SERRANO PHARMACY TECHNICIAN (EXEMPTEE FOR DME)
- **Authorized official phone:** (909) 981-7022

## Contact information

- **Practice address:** 521 N MOUNTAIN AVE, SUITE G, UPLAND, CA 91786-5098
- **Practice address phone:** (909) 981-7022
- **Practice address fax:** (909) 982-2757
- **Mailing address:** 521 N MOUNTAIN AVE, SUITE G, UPLAND, CA 91786-5098
- **Mailing address phone:** (909) 981-7022
- **Mailing address fax:** (909) 982-2757

## Taxonomy

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

## Other

- **Enumeration date:** 06/21/2006
- **Last updated:** 08/22/2020
