# GOLDEN VALLEY MEDICAL & OXYGEN SERVICE

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

## Provider details

- **NPI number:** 1356450423
- **Authorized official:** PATRICIA ANN BOBBITT (CEO /PRESIDENT)
- **Authorized official phone:** (909) 884-0445

## Contact information

- **Practice address:** 424 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4014
- **Practice address phone:** (909) 884-0445
- **Practice address fax:** (909) 882-6358
- **Mailing address:** 424 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4014
- **Mailing address phone:** (909) 884-0445
- **Mailing address fax:** (909) 882-6358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | M66550 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | M66550 | CA | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | M66550 | CA | — |
| 335E00000X | Prosthetic/Orthotic Supplier | M66550 | CA | — |

## Other

- **Enumeration date:** 08/30/2006
- **Last updated:** 07/21/2022