Organization Name: | GOLDEN VALLEY MEDICAL SUPPLY, INC. |
NPI Number: | 1689876732 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VILMA VILLAFLOR VIRTUSIO (PRESIDENT) |
Mailing Address: | 20957 Currier Rd Suite E Walnut |
State: | CA US |
Postal Code: | 917893047 |
Phone Number: | 9094685757 |
Fax Number: | 9094685416 |
NPI Enumeration Date: | 06/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
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 |