# OBERLIN MEDICAL SUPPLY & SERVICE CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1851574370
- **Authorized official:** MR. MAHER D IDRISS (PRESIDENT)
- **Authorized official phone:** (858) 450-6675

## Contact information

- **Practice address:** 9883 PACIFIC HEIGHTS BLVD STE B, SAN DIEGO, CA 92121-4709
- **Practice address phone:** (858) 450-6675
- **Practice address fax:** (858) 450-6673
- **Mailing address:** 9883 PACIFIC HEIGHTS BLVD STE B, SAN DIEGO, CA 92121-4709
- **Mailing address phone:** (858) 450-6675
- **Mailing address fax:** (858) 450-6673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | WLS 3600 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 08/19/2008