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OPTIMUM MEDICAL SUPPLY CORPORATION
NPI 1720650476
Durable Medical Equipment & Medical Supplies in San Diego, CA

Active since July 13, 2021
3200 4TH AVE STE 200, SAN DIEGO, CA 92103(858) 283-2391 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 7, 2022, Jul 13, 2021 (2 updates tracked since 2021).

About Optimum Medical Supply Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTIMUM MEDICAL SUPPLY CORPORATION (NPI 1720650476) is a healthcare organization registered as a durable medical equipment & medical supplies in San Diego, California and active in the NPI registry since July 2021. The organization lists Jeanett Valenzuela Ayub, Owner, as its authorized official.

NPPES Registry Identity

NPI1720650476
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameOPTIMUM MEDICAL SUPPLY CORPORATION
Location Address3200 4TH AVE STE 200San Diego, CA 92103-5716
Mailing Address964 5th Ave Ste 408San Diego, CA 92101-6102 · (858) 283-2391
Phone(858) 283-2391
Organization SubpartNo
Authorized OfficialJeanett Valenzuela AyubOwner · (858) 283-2391
Enumeration DateJuly 13, 2021
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
✔ NPI 1720650476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3200 4TH AVE STE 200, San Diego, CA 92103
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Frequently Asked Questions

What is OPTIMUM MEDICAL SUPPLY CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1720650476, enumerated as an "organization" on July 13, 2021.

Where is the provider located?

The provider is located at 3200 4TH AVE STE 200 SAN DIEGO, CA 92103 and the phone number is (858) 283-2391.

What is the provider's specialty?

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.