Organization
LIGHTHOUSE MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES MULDOWNEY (OWNER)
(657) 247-4800
Entity
Organization
Contact information
Practice address
1442 IRVINE BLVD STE 136, TUSTIN, CA 92780-3870
(949) 751-8548
(657) 247-4806
Mailing address
1442 IRVINE BLVD STE 136, TUSTIN, CA 92780-3870
(949) 751-8548
(657) 247-4806
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
09/27/2021
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