Kodiak HME LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

KODIAK HME LLC

Practice address

2112 E 4TH St Ste 104a
Santa Ana, CA 92705-3849

Phone

(949) 735-0216

NPI assigned

Apr 20, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Mont Mittleman

Title

Ceo

Phone

(949) 735-0216

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1776643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1689519316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOCKINGBIRD LN",
            "city": "TRABUCO CANYON",
            "state": "CA",
            "postal_code": "926795336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 E 4TH ST STE 104A",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053849",
            "telephone_number": "949-735-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KODIAK HME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-20",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "MITTLEMAN",
        "authorized_official_first_name": "MONT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-735-0216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Customized Equipment (DME) in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Customized Equipment (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.