Organization
MEDPLUS DME
Active
Other names
MEDPLUS DME
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO DY BUCO JR. (VICE PRESIDENT)
(714) 770-0144
Entity
Organization
Contact information
Practice address
1501 S RAYMOND AVENUE SUITE K, ANAHEIM, CA 92801
(714) 770-0144
(714) 770-0134
Mailing address
1501 S RAYMOND AVENUE SUITE K, ANAHEIM, CA 92801
(714) 770-0144
(714) 770-0134
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116463
DEPARTMENT OF PUBLIC HEALTH FOOD AND DRUG BRANCH
CA
Enumeration date
08/08/2022
Last updated
04/30/2024
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