MEDICARE: G7 MEDICAL SERVICES, 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	332B00000X	Durable Medical Equipment & Medical Supplies	103284	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437333226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G7 MEDICAL SERVICES, INC.

Provider Business Mailing Address
First Line	:	355 W BEDFORD AVE STE 104
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-5836
Country	:	US
Telephone Number	:	559-261-9641
Fax Number	:	559-261-9697

Provider Business Practice Location Address
First Line	:	2525 OCONEE AVE APT 102
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3997
Country	:	US
Telephone Number	:	757-377-2136
Fax Number	:	757-486-0410

Authorized Official
Title or Position	:	CEO/OWNER
Name	:	MR. TRAVIS GODDEN
Credential	:
Telephone Number	:	559-261-9641

Provider Enumeration Date	:	12/28/2007
Last Update Date	:	12/28/2007

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