Provider Demographics
NPI:1902661408
Name:MAXIMUM MEDICAL
Entity Type:Organization
Organization Name:MAXIMUM MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF REIMBURSEMENT
Authorized Official - Prefix:
Authorized Official - First Name:NINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-697-0661
Mailing Address - Street 1:3187 RED HILL AVE
Mailing Address - Street 2:STE 150, ROOM 6
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626
Mailing Address - Country:US
Mailing Address - Phone:844-295-4840
Mailing Address - Fax:844-295-4839
Practice Address - Street 1:3187 RED HILL AVE
Practice Address - Street 2:STE 150, ROOM 6
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:844-295-4840
Practice Address - Fax:844-295-4839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-14
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies