Organization
MP MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MADELYN C PHILLIPS (PRESIDENT MP MEDICAL INC)
(858) 449-0131
Entity
Organization
Contact information
Practice address
6559 EDMONTON AVE, SAN DIEGO, CA 92122-2514
(858) 449-0131
(858) 866-0688
Mailing address
6559 EDMONTON AVE, SAN DIEGO, CA 92122-2514
(858) 449-0131
(858) 866-0688
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101308
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41698600
WISCONSIN MEDICAID
—
05
—
9055021
—
WA
05
—
9056987
—
WA
05
—
DME02029F
—
CA
Enumeration date
08/29/2006
Last updated
01/28/2008
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