Provider Demographics
NPI:1235288150
Name:MEDICAL PRODUCT SPECIALIST
Entity Type:Organization
Organization Name:MEDICAL PRODUCT SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HYUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-486-6677
Mailing Address - Street 1:785 CHALLENGER ST
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-2948
Mailing Address - Country:US
Mailing Address - Phone:800-486-6677
Mailing Address - Fax:714-257-0513
Practice Address - Street 1:785 CHALLENGER ST
Practice Address - Street 2:
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-2948
Practice Address - Country:US
Practice Address - Phone:800-486-6677
Practice Address - Fax:714-257-0513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies