# PREMIUM DME RESOURCES

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

## Provider details

- **NPI number:** 1912273061
- **Authorized official:** MR. RAMIRO E. GONZALEZ (OWNER)
- **Authorized official phone:** (562) 654-1600

## Contact information

- **Practice address:** 9020 SLAUSON AVE STE 210, PICO RIVERA, CA 90660-4578
- **Practice address phone:** (562) 654-1600
- **Practice address fax:** (564) 654-1653
- **Mailing address:** 9020 SLAUSON AVE STE 210, PICO RIVERA, CA 90660-4578
- **Mailing address phone:** (562) 654-1600
- **Mailing address fax:** (564) 654-1653

## Taxonomy

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

## Other

- **Enumeration date:** 03/22/2012
- **Last updated:** 03/22/2012
