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Organization
FOLSOM MEDICAL SUPPLY LLC
Active
Organization
FOLSOM MEDICAL SUPPLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GOPAL K BALAGA (PRESIDENT)
(916) 524-1533
Entity
Organization
Contact information
Practice address
422 E BIDWELL ST, FOLSOM, CA 95630-3117
(916) 293-8897
(916) 358-7886
Mailing address
422 E BIDWELL ST, FOLSOM, CA 95630-3117
(916) 293-8897
(916) 358-7886
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BD1200X
Dialysis Equipment & Supplies (DME)
—
NULL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
NULL
332BX2000X
Oxygen Equipment & Supplies (DME)
—
NULL
332H00000X
Eyewear Supplier
—
NULL
335E00000X
Prosthetic/Orthotic Supplier
—
NULL
Other
Enumeration date
02/02/2010
Last updated
02/22/2011
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