Organization Name: | GORDIAN MEDICAL IV, INC. |
NPI Number: | 1992162911 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID SIMON (VP/GENERAL COUNSEL) |
Mailing Address: | 1430 3rd St Ste 6 Riverside |
State: | CA US |
Postal Code: | 925073457 |
Phone Number: | 9514325808 |
Fax Number: | 9513733032 |
NPI Enumeration Date: | 01/21/2016 |
NPI Last Update Date: | 03/24/2016 |
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 |