Organization
ICEBERG MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOMAN QASIM BROHI (MANAGER)
(469) 915-5044
Entity
Organization
Contact information
Practice address
1944 N TUSTIN ST STE 102, ORANGE, CA 92865-4643
(469) 915-5044
Mailing address
1944 N TUSTIN ST STE 102, ORANGE, CA 92865-4643
(469) 915-5044
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/30/2024
Last updated
10/23/2025
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