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NPI Code Detail

MEDICARE: WALNUT MEDICAL EQUIPTMENT, INC.

MEDICARE: WALNUT MEDICAL EQUIPTMENT, 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
1332B00000XDurable Medical Equipment & Medical Supplies
2332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1346276615
Entity Type Code : Organization
Provider Name (Legal Business Name) : WALNUT MEDICAL EQUIPTMENT, INC.
Provider Business Mailing Address
First Line : 1378 E WALNUT ST
Second Line :
City : PASADENA
State : CA
Zip : 91106-1528
Country : US
Telephone Number : 626-792-0088
Fax Number :
Provider Business Practice Location Address
First Line : 1378 E WALNUT ST
Second Line :
City : PASADENA
State : CA
Zip : 91106-1528
Country : US
Telephone Number : 626-792-0088
Fax Number : 626-792-0064
Authorized Official
Title or Position : PRESIDENT
Name : MR. GURGEN BATIKYAN
Credential :
Telephone Number : 626-792-0088
Provider Enumeration Date : 06/25/2006
Last Update Date : 02/22/2008

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