Medical Network Resource Center, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

25737 Issued in CA

Legal business name

MEDICAL NETWORK RESOURCE CENTER, INC.

Practice address

13841 Roswell Ave
BLDG 12, Unit I
Chino, CA 91710-5467

Phone

(909) 590-0797

Fax

(909) 590-5297

NPI assigned

Oct 5, 2005

Last updated

Dec 3, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Wayne Carter

Title

Ceo

Phone

(909) 590-0797

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417564800000",
    "number": "1689661522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13841 ROSWELL AVE",
            "address_2": "BLDG 12, UNIT I",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105467",
            "telephone_number": "909-590-0797",
            "fax_number": "909-590-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13841 ROSWELL AVE",
            "address_2": "BLDG 12, UNIT I",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917105467",
            "telephone_number": "909-590-0797",
            "fax_number": "909-590-5297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL NETWORK RESOURCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-05",
        "last_updated": "2014-12-03",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-590-0797",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "25737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Chino, CA
• Providers in Chino, 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 Dec 3, 2014; 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.