| Organization Name: | RAE MEDICAL |
| NPI Number: | 1447557178 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LINDA RAE LORDEN (CEO) |
| Mailing Address: | 6454 Pony Express Trl Suite 33 Pollock Pines |
| State: | CA US |
| Postal Code: | 957269652 |
| Phone Number: | 9167154317 |
| Fax Number: | |
| NPI Enumeration Date: | 02/15/2011 |
| NPI Last Update Date: | 02/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 047113 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |