Provider Demographics
NPI:1407202120
Name:FLEXIMUG LLC
Entity Type:Organization
Organization Name:FLEXIMUG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:CARDELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:800-588-6190
Mailing Address - Street 1:1041 MARKET ST # 400
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7233
Mailing Address - Country:US
Mailing Address - Phone:800-588-6190
Mailing Address - Fax:
Practice Address - Street 1:1041 MARKET ST # 400
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-7233
Practice Address - Country:US
Practice Address - Phone:562-841-3165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA102-775138332BC3200X, 332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies