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Organization

MALDONADO MEDICAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRANDON JAMES MAXON MALDONADO (PRESIDENT)
(602) 265-0077
Entity
Organization

Contact information

Practice address
2022 BROADWAY STE B, SANTA MONICA, CA 90404-2971
(310) 622-4838
(310) 622-4553
Mailing address
19820 N 7TH AVE, SUITE 230, PHOENIX, AZ 85027-4736
(602) 265-0077
(602) 265-1551

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
06/04/2010
Last updated
03/27/2013
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