# FOLSOM MEDICAL SUPPLY LLC

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

## Provider details

- **NPI number:** 1831421742
- **Authorized official:** MR. GOPAL K BALAGA (PRESIDENT)
- **Authorized official phone:** (916) 524-1533

## Contact information

- **Practice address:** 422 E BIDWELL ST, FOLSOM, CA 95630-3117
- **Practice address phone:** (916) 293-8897
- **Practice address fax:** (916) 358-7886
- **Mailing address:** 422 E BIDWELL ST, FOLSOM, CA 95630-3117
- **Mailing address phone:** (916) 293-8897
- **Mailing address fax:** (916) 358-7886

## Taxonomy

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