Organization
BRANDI PARIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HEPNER (OFFICE MANAGER)
(714) 435-1904
Entity
Organization
Contact information
Practice address
3176 PULLMAN ST STE 104, COSTA MESA, CA 92626-3317
(714) 435-1904
(714) 435-1964
Mailing address
3176 PULLMAN ST STE 104, COSTA MESA, CA 92626-3317
(714) 435-1904
(714) 435-1964
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
97188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02371F
—
CA
Enumeration date
11/20/2007
Last updated
07/21/2022
Update your record
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