TENNI-MOC'S SHOE STORE INC (NPI# 1710504022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710504022 |
| Entity Type | Organization |
| Organization Name | TENNI-MOC'S SHOE STORE INC |
| Practice Address |
6536 E Spring St Long Beach CA 90815-1554 |
| Practice Telephone | 5624297777 |
| Mailing Telephone | 5624297777 |
| Enumeration Date | 2020-07-02 |
| Last Update Date | 2020-07-02 |
| Authorized Official Name | MATTHEW MALTEZOS (CFO) |
| Authorized Official Telephone | 5624297777 |
| Authorized Official Credential | C.PED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| TENNI-MOC'S | Doing Business As Name - Organization |
| Street Address |
6536 E SPRING ST |
| City | LONG BEACH |
| State | CA |
| Zip Code | 90815-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871130781 | Matthew Maltezos | Pedorthist | 6536 E Spring St, Long Beach, CA 90815-1554 | 2019-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596745 | Fatima A. Hernandez | Technician | 2846 N Greenbrier Road, Long Beach, CA 90815 | 2019-09-09 |
| 1376027938 | Abigail Joy Dominguez | Social Worker | 2725 Hackett Ave, Long Beach, CA 90815 | 2018-09-19 |
| 1790271716 | The North Star Center for Marriage and Family Therapy, Inc. | Counselor | Faith Recovery, 2211 Suite C Palo Verde Ave, Long Beach, CA 90815 | 2018-07-02 |
| 1639600844 | Melissa Suzanne Fitzgerald | Nurse Practitioner | 6510 E. Spring Street, Spring Family Medical Group, Long Beach, CA 90815 | 2017-03-21 |
| 1588102818 | Jeff Clement | Registered Nurse | 1824 Stearnlee Avenue, Long Beach, CA 90815 | 2017-02-07 |
| 1376923524 | Edward Carl Woerz | Surgery | 5640 E. Las Lomas St., L.b., CA 90815 | 2015-06-03 |
| 1558765107 | Kendall Cheney Perez | Social Worker | 4142 E Mendez St Unit 433, Long Beach, CA 90815 | 2014-10-10 |
| 1689087769 | Nellie Grace Bell, Ma, Inc. | Marriage & Family Therapist | 6200 E. Spring St., Suite G, Long Beach, CA 90815 | 2014-06-06 |
| 1245652270 | Nguyen and Ghazal Dental Corporation | Dentist | 5533-a East Stearns Street, Long Beach, CA 90815 | 2014-01-10 |
| 1306267182 | Marcia Freeman | Licensed Practical Nurse | 2250 Grand Ave, Long Beach, CA 90815 | 2013-12-23 |
| Find all providers in zip 90815 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821616673 | Exporter Medical LLC | Durable Medical Equipment & Medical Supplies | 2990 E. Pacific Coast Hwy., Suite B, Long Beach, CA 90804 | 2020-07-08 |
| 1437771235 | Promos Group LLC | Durable Medical Equipment & Medical Supplies | 309 W Park Ave Ste 2, Long Beach, NY 11561-3241 | 2020-05-14 |
| 1497226138 | Ui Medical, LLC | Durable Medical Equipment & Medical Supplies | 555 E Ocean Blvd Ste 430, Long Beach, CA 90802-5091 | 2018-12-06 |
| 1245715176 | Gns Medical Supplies, Inc. | Durable Medical Equipment & Medical Supplies | 111 W Ocean Blvd Fl 4, Long Beach, CA 90802-4633 | 2018-09-26 |
| 1295219707 | The Sleep Apnea Girl | Durable Medical Equipment & Medical Supplies | 2700 N Bellflower Blvd Ste 315, Long Beach, CA 90815-1145 | 2018-09-20 |
| 1699273367 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 730-740 Long Beach Blvd, #a & #c, Long Beach, CA 90813-4480 | 2018-01-29 |
| 1780192740 | New Healthcare Supplies Inc | Durable Medical Equipment & Medical Supplies | 1001 E Pacific Coast Hwy Ste 117, Long Beach, CA 90806 | 2018-01-11 |
| 1952843559 | Molino Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2540 E Anaheim St # B, Long Beach, CA 90804-3607 | 2016-11-14 |
| 1265803688 | Stop and Shop Supermarket Co LLC | Durable Medical Equipment & Medical Supplies | 85 East Park Ave, Long Beach, NY 11561 | 2015-10-12 |
| 1194156430 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 6265 E 2nd St Ste 101, Long Beach, CA 90803-4651 | 2013-12-12 |
| Find all providers in LONG BEACH | ||||
| City | LONG BEACH |
| Zip Code | 90815 |
Please comment or provide details below to improve the information on TENNI-MOC'S SHOE STORE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.