Organization Name: | JAN LOUISE RODRIGUEZ |
NPI Number: | 1437144540 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN LOUISE RODRIGUEZ (OWNER) |
Mailing Address: | 12210 Michigan St Suite 3 Grand Terrace |
State: | CA US |
Postal Code: | 923135484 |
Phone Number: | 9098255213 |
Fax Number: | 9098252843 |
NPI Enumeration Date: | 09/14/2005 |
NPI Last Update Date: | 05/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 332B00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |