Organization
PED NEGOTIUM INC.
Active
Parent organization
PED NEGOTIUM INC.
Other names
Tenderfeet Shoes/InCare DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
PED NEGOTIUM INC.
Authorized official
GREG WOLFE C.PED. (PRESIDENT)
(714) 990-5932
Entity
Organization
Contact information
Practice address
1220 PIONEER ST STE F, BREA, CA 92821-3712
(657) 229-3079
(714) 990-4060
Mailing address
1050 W CENTRAL AVE STE D, BREA, CA 92821-2200
(714) 990-5932
(714) 990-4060
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
S1389
MD
335E00000X
Prosthetic/Orthotic Supplier
C49909
MD
Other
Enumeration date
08/05/2009
Last updated
08/06/2012
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