Organization Name: | TRIANA MEDICAL SUPPLY |
NPI Number: | 1336473206 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LYNETTE ILEANA ATALLAH (PRESIDENT) |
Mailing Address: | 3855 Avocado Blvd Suite 160 La Mesa |
State: | CA US |
Postal Code: | 919417382 |
Phone Number: | 6197136800 |
Fax Number: | 6196390376 |
NPI Enumeration Date: | 09/25/2009 |
NPI Last Update Date: | 09/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 51406 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |