Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack G McCulloch Jr

Organization Durable Medical Equipment & Medical Supplies · NPI 1790859585

Jack G McCulloch Jr is a Durable Medical Equipment & Medical Supplies in Brea, California. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

685 S Brea Blvd
Brea, CA 92821-5308
Phone: (714) 529-6399
Fax: (714) 529-2859
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1790859585
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Apryl McCulloch — Co-Owner · (714) 529-6399
Other names McCulloch'S Wide Shoes
NPI enumeratedNovember 20, 2006
Last updated in NPPESApril 11, 2013
Mailing address685 S Brea Blvd, Brea, CA 92821-5308

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