Organization
PATRICIA MANN
Active
Other names
VALLEY RESPIRATORY & MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD EUGENE MANN RCP (OWNER)
(951) 653-1090
Entity
Organization
Contact information
Practice address
14161 ELSWORTH ST, SUITE C, MORENO VALLEY, CA 92553-9007
(951) 653-1090
(951) 653-9590
Mailing address
12065 MORRISON ST, MORENO VALLEY, CA 92555-1802
(951) 653-1090
(951) 653-9590
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
100442
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01966F
—
CA
Enumeration date
04/04/2007
Last updated
02/19/2009
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