Provider Demographics
NPI:1790508810
Name:MLC MEDICAL MARKETING GROUP, INC.
Entity type:Organization
Organization Name:MLC MEDICAL MARKETING GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:CANTORIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-889-7839
Mailing Address - Street 1:2175 SAMPSON AVE STE 111
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-6013
Mailing Address - Country:US
Mailing Address - Phone:626-335-5418
Mailing Address - Fax:626-852-9880
Practice Address - Street 1:2175 SAMPSON AVE STE 111
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92879-6013
Practice Address - Country:US
Practice Address - Phone:626-335-5418
Practice Address - Fax:626-852-9880
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MLC MEDICAL MARKETING GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-11-06
Last Update Date:2024-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies