# MARK MEDICAL SUPPLIES LLC

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

## Provider details

- **NPI number:** 1912833575
- **Authorized official:** RAHIM KHAN (DIRECTOR)
- **Authorized official phone:** (512) 764-7165

## Contact information

- **Practice address:** 3612 ALLEGHENY ST, CORONA, CA 92881-0987
- **Practice address phone:** (512) 764-7165
- **Mailing address:** 3612 ALLEGHENY ST, CORONA, CA 92881-0987

## Taxonomy

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

## Other

- **Enumeration date:** 06/22/2026
- **Last updated:** 06/22/2026