# PITAL MEDICAL, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1487725016
- **Authorized official:** MS. ROLANDA TERICA BREAUX COP,CMF (CEO)
- **Authorized official phone:** (866) 904-4171

## Contact information

- **Practice address:** 333 S GRAND AVE STE 3310, LOS ANGELES, CA 90071-1538
- **Practice address phone:** (866) 904-4171
- **Practice address fax:** (866) 724-3130
- **Mailing address:** 333 S GRAND AVE STE 3310, LOS ANGELES, CA 90071-1538
- **Mailing address phone:** (866) 904-4171
- **Mailing address fax:** (866) 724-3130

## Taxonomy

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

## Other

- **Enumeration date:** 11/13/2006
- **Last updated:** 03/02/2022