Provider Demographics
NPI:1376300061
Name:MORI MEDICAL EQUIPMENT INC
Entity Type:Organization
Organization Name:MORI MEDICAL EQUIPMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MORI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-659-4200
Mailing Address - Street 1:2320 LA MIRADA DR
Mailing Address - Street 2:
Mailing Address - City:VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:92081-7862
Mailing Address - Country:US
Mailing Address - Phone:760-659-4200
Mailing Address - Fax:
Practice Address - Street 1:3401 N BUTLER AVE STE 105
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:NM
Practice Address - Zip Code:87401-6867
Practice Address - Country:US
Practice Address - Phone:760-659-4200
Practice Address - Fax:760-659-4200
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORI MEDICAL EQUIPMENT INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies