Organization
MEDEQUIP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOREN LIND (PRESIDENT)
(949) 443-4418
Entity
Organization
Contact information
Practice address
9449 BALBOA AVE STE 102, SAN DIEGO, CA 92123-4336
(949) 443-4414
(949) 425-1738
Mailing address
27 BROOKLINE, ALISO VIEJO, CA 92656-1461
(949) 443-4414
(949) 425-1738
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
74163
HMDR
CA
Enumeration date
01/20/2022
Last updated
01/20/2022
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