MEDICARE: PATIENT'S PRIDE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BD1200X	Dialysis Equipment & Supplies (DME)	45134	CA

General Provider Information

NPI Number	:	1114936283
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT'S PRIDE, INC

Provider Business Mailing Address
First Line	:	395 DEL MONTE CTR
Second Line	:	SUITE 182
City	:	MONTEREY
State	:	CA
Zip	:	93940-6156
Country	:	US
Telephone Number	:	866-607-7433
Fax Number	:	831-855-0107

Provider Business Practice Location Address
First Line	:	395 DEL MONTE CTR
Second Line	:	SUITE 182
City	:	MONTEREY
State	:	CA
Zip	:	93940-6156
Country	:	US
Telephone Number	:	866-607-7433
Fax Number	:	831-855-0107

Authorized Official
Title or Position	:	CEO
Name	:	MS. SHEILA SHAW
Credential	:
Telephone Number	:	866-607-7433

Provider Enumeration Date	:	08/06/2006
Last Update Date	:	05/29/2009

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Directions to “PATIENT'S PRIDE, INC ” Practice Location

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