Doctor Name: | CARLOS DURAN |
NPI Number: | 1740674571 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 47-3169428 |
Business Practice Address: | 25403 Feijoa Ave Lomita, CA - 907172116 |
Business Phone Number: | 8184482012 |
Business Fax Number: | |
Mailing Address: | 25403 Feijoa Ave, LOMITA |
State: | CA |
Postal Code: | 907172116 |
Phone Number: | 8184482012 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2015 |
NPI Last Update Date: | 03/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 47-3169428 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |