Provider Demographics
NPI:1992504393
Name:SUMMIT DME INC
Entity type:Organization
Organization Name:SUMMIT DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MONT
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-735-0216
Mailing Address - Street 1:201 W DYER RD STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92707-3426
Mailing Address - Country:US
Mailing Address - Phone:714-462-5588
Mailing Address - Fax:
Practice Address - Street 1:201 W DYER RD STE C
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92707-3426
Practice Address - Country:US
Practice Address - Phone:714-462-5588
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies