Organization
BRADEN PARTNERS LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE MCGEE (CHIEF EXECUTIVE OFFICER)
(646) 880-0473
Entity
Organization
Contact information
Practice address
755 FIERO LN, STE G, SAN LUIS OBISPO, CA 93401
(805) 594-5501
(805) 594-0601
Mailing address
5060 CALIFORNIA AVE STE 310, BAKERSFIELD, CA 93309-0728
(661) 665-6040
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01925F
—
CA
Enumeration date
08/17/2006
Last updated
06/27/2018
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