Organization
MOUNTAINTOP TECHNOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD GORING MBA, NHA (CEO)
(732) 322-9919
Entity
Organization
Contact information
Practice address
610 S FAIRMONT AVE, LODI, CA 95240-3835
(732) 322-9919
Mailing address
10050 RICHARD IBARRA WAY, ELK GROVE, CA 95757-6439
(732) 322-9919
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Enumeration date
05/23/2024
Last updated
05/23/2024
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