Doctor Name: | MARIA KAY CAJULIS |
NPI Number: | 1124206891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DME SUPPLIER |
License Number: | |
Business Practice Address: | 2954 Honolulu Ave La Crescenta, CA - 912143909 |
Business Phone Number: | 8182495007 |
Business Fax Number: | 8182792285 |
Mailing Address: | 2954 Honolulu Ave, LA CRESCENTA |
State: | CA |
Postal Code: | 912143909 |
Phone Number: | 8182495007 |
Fax Number: | 8182792285 |
NPI Enumeration Date: | 02/05/2008 |
NPI Last Update Date: | 03/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy 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 |