Healthcare Provider Details

I. General information

NPI: 1487923090
Provider Name (Legal Business Name): GENERAL MEDICAL COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2011
Last Update Date: 12/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 W BELLEVUE DR SUITE 2
PASADENA CA
91105-2549
US

IV. Provider business mailing address

123 W BELLEVUE DRIVE SUITE 2
PASADENA CA
91105-2549
US

V. Phone/Fax

Practice location:
  • Phone: 626-796-1051
  • Fax: 626-796-7298
Mailing address:
  • Phone: 626-796-1051
  • Fax: 626-796-7298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number56069
License Number StateCA

VIII. Authorized Official

Name: MR. THOMAS F GREANY
Title or Position: PRESIDENT
Credential: MBA, CPCU
Phone: 626-796-1051