Provider Demographics
NPI:1356816144
Name:MEDLAND MEDICAL BILLING MANAGEMENT LLC
Entity Type:Organization
Organization Name:MEDLAND MEDICAL BILLING MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:DURAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-633-5631
Mailing Address - Street 1:9924 ASTER CIR
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-2309
Mailing Address - Country:US
Mailing Address - Phone:877-633-5631
Mailing Address - Fax:877-306-3061
Practice Address - Street 1:9924 ASTER CIR
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-2309
Practice Address - Country:US
Practice Address - Phone:877-633-5631
Practice Address - Fax:877-306-3061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-08
Last Update Date:2018-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty