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General NPI Number Information
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NPI Number | 1801991567
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Entity Type | Organization
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Legal Business Name | PICO MEDICAL RENTS & SELLS INC
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6035 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-2624
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Country | US
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Telephone | 323-936-4104
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Fax | 323-936-3454
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Provider Business Mailing Address
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Address Line | 6035 W PICO BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90035-2624
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Country | US
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Telephone | 323-936-4104
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Fax | 323-936-3454
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. PENNY LYNN RANGEL
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Credential |
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Telephone | 323-936-4104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1494
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 1494
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License Number State | CA
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