# TRIUMPH SPECIALTIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Triumph Specialties
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790327732
- **Authorized official:** MR. JESUS RUBALCAVA (PRESIDENT)
- **Authorized official phone:** (888) 499-5577

## Contact information

- **Practice address:** 11100 SEPULVEDA BLVD \# 8-519, MISSION HILLS, CA 91345-1131
- **Practice address phone:** (888) 499-5577
- **Practice address fax:** (888) 499-5577
- **Mailing address:** 11100 SEPULVEDA BLVD \# 8-519, MISSION HILLS, CA 91345-1131
- **Mailing address phone:** (888) 499-5577
- **Mailing address fax:** (888) 499-5577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2019
- **Last updated:** 01/24/2020