Provider Demographics
NPI:1235679945
Name:TNT MEDICAL MANAGEMENT, INC.
Entity Type:Organization
Organization Name:TNT MEDICAL MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:MALONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-347-8052
Mailing Address - Street 1:4636 EDGEWARE RD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92116-4701
Mailing Address - Country:US
Mailing Address - Phone:619-347-8052
Mailing Address - Fax:844-754-3423
Practice Address - Street 1:3443 CAMINO DEL RIO S
Practice Address - Street 2:SUITE 212
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3903
Practice Address - Country:US
Practice Address - Phone:619-487-9321
Practice Address - Fax:844-754-3423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-28
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies