Organization
KODIAK HME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MONT MITTLEMAN (CEO)
(949) 735-0216
Entity
Organization
Contact information
Practice address
2112 E 4TH ST STE 104A, SANTA ANA, CA 92705-3849
(949) 735-0216
Mailing address
10 MOCKINGBIRD LN, TRABUCO CANYON, CA 92679-5336
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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