Patriot Dme Inc.
NPI #1003478736 in Glendora, California
Provider Information
- NPI Number
- 1003478736
- Entity Type
- Organization
- Organization Name
- Patriot Dme Inc.
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 2, 2019
- Last Updated
- Jul 2, 2019
Practice Location
- Address
- 510 S GRAND AVE STE 310
- City
- Glendora
- State
- California
- ZIP Code
- 91741-4207
- Phone
- (626) 594-0192
Authorized Official
- Name
- MICHAEL JOSEPH IMPASTATO
- Title
- CEO
- Phone
- (626) 506-0808
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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