Organization
PATRIOT DME INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOSEPH IMPASTATO (CEO)
(626) 506-0808
Entity
Organization
Contact information
Practice address
510 S GRAND AVE STE 310, GLENDORA, CA 91741-4207
(626) 594-0192
Mailing address
510 S GRAND AVE STE 310, GLENDORA, CA 91741-4207
(626) 594-0192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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