# RAE MEDICAL

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

## Provider details

- **NPI number:** 1447557178
- **Authorized official:** MRS. LINDA RAE LORDEN RN (CEO)
- **Authorized official phone:** (916) 715-4317

## Contact information

- **Practice address:** 6454 PONY EXPRESS TRL, SUITE 33, POLLOCK PINES, CA 95726-9652
- **Practice address phone:** (916) 715-4317
- **Mailing address:** PO BOX 1343, PLACERVILLE, CA 95667-1343
- **Mailing address phone:** (916) 715-4317

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 047113 | CA | Yes |
| 332BC3200X | Customized Equipment (DME) | 047113 | CA | — |
| 332BN1400X | Nursing Facility Supplies (DME) | 047113 | CA | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | 047113 | CA | — |

## Other

- **Enumeration date:** 02/15/2011
- **Last updated:** 02/15/2011