Maui Medical, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

45385 Issued in CA

Legal business name

MAUI MEDICAL, INC.

Practice address

317 W Tullock St
Rialto, CA 92376-7702

Phone

(909) 877-1500

Fax

(909) 746-0420

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Eddie Neagle

Title

President

Phone

(909) 877-1500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239667200000",
    "number": "1609982891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W TULLOCK ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767702",
            "telephone_number": "909-877-1500",
            "fax_number": "909-746-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W TULLOCK ST",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767702",
            "telephone_number": "909-877-1500",
            "fax_number": "909-746-0420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2009-04-14",
        "status": "A",
        "authorized_official_last_name": "NEAGLE",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-877-1500"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "45385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Rialto, 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 Apr 14, 2009; 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.