# MALDONADO MEDICAL, LLC

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

## Provider details

- **NPI number:** 1144540816
- **Authorized official:** MR. BRANDON JAMES MAXON MALDONADO (PRESIDENT)
- **Authorized official phone:** (602) 265-0077

## Contact information

- **Practice address:** 2022 BROADWAY STE B, SANTA MONICA, CA 90404-2971
- **Practice address phone:** (310) 622-4838
- **Practice address fax:** (310) 622-4553
- **Mailing address:** 19820 N 7TH AVE, SUITE 230, PHOENIX, AZ 85027-4736
- **Mailing address phone:** (602) 265-0077
- **Mailing address fax:** (602) 265-1551

## Taxonomy

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

## Other

- **Enumeration date:** 06/04/2010
- **Last updated:** 03/27/2013