Mother Maneteu Medical Supplies, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

103785 Issued in CA

Legal business name

MOTHER MANETEU MEDICAL SUPPLIES, INC

Practice address

12601 San Fernando Rd
Suite F
Sylmar, CA 91342-7733

Phone

(818) 364-5581

Fax

(818) 364-5582

NPI assigned

Jul 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Nouboudem Dongmo

Title

President

Phone

(818) 364-5581

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1407871189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD",
            "address_2": "SUITE F",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733",
            "telephone_number": "818-364-5581",
            "fax_number": "818-364-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12601 SAN FERNANDO RD",
            "address_2": "SUITE F",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "913427733",
            "telephone_number": "818-364-5581",
            "fax_number": "818-364-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER MANETEU MEDICAL SUPPLIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "DONGMO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "NOUBOUDEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-364-5581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "103785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Moreno, RN
• Salvador Mariscal Moreno, MSW
• Erika Morozumi
• Dominique Morris
• Theresa Veronica Moses, RN
• Ramzy Moubarak
• Kristine Movsisian, MS, CCC-SLP
• Mark Moyer, M.D.
• Alma C Munoz
• Karla Murillo, MD MPH

• Durable Medical Equipment & Medical Supplies in Sylmar, CA
• Providers in Sylmar, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.