# PATRIOT DME INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003478736
- **Authorized official:** MICHAEL JOSEPH IMPASTATO (CEO)
- **Authorized official phone:** (626) 506-0808

## Contact information

- **Practice address:** 510 S GRAND AVE STE 310, GLENDORA, CA 91741-4207
- **Practice address phone:** (626) 594-0192
- **Mailing address:** 510 S GRAND AVE STE 310, GLENDORA, CA 91741-4207
- **Mailing address phone:** (626) 594-0192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2019
- **Last updated:** 07/02/2019