Provider Demographics
NPI:1932553310
Name:NNE MEDICAL SUPPLY AND EQUIPMENT, INC.
Entity Type:Organization
Organization Name:NNE MEDICAL SUPPLY AND EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHARINA
Authorized Official - Middle Name:G
Authorized Official - Last Name:BERROYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-209-9172
Mailing Address - Street 1:617 N EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801-4623
Mailing Address - Country:US
Mailing Address - Phone:714-430-8570
Mailing Address - Fax:626-337-2006
Practice Address - Street 1:617 N EUCLID ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-4623
Practice Address - Country:US
Practice Address - Phone:866-759-0683
Practice Address - Fax:866-759-0684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-21
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5692480002Medicare NSC