Organization
MEDEQUIP, INC
Active
Other names
Medica
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SOREN LIND (PRESIDENT)
(949) 443-4414
Entity
Organization
Contact information
Practice address
27 BROOKLINE, ALISO VIEJO, CA 92656-1461
(949) 443-4414
(949) 493-4754
Mailing address
27 BROOKLINE, ALISO VIEJO, CA 92656-1461
(949) 443-4414
(949) 493-4754
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
55640
CA
332BC3200X
Customized Equipment (DME)
55640
CA
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942394119
—
CA
Enumeration date
10/03/2006
Last updated
12/10/2024
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