Organization
MINIMED DISTRIBUTION CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUE DALLARA (PRESIDENT)
(800) 646-4633
Entity
Organization
Contact information
Practice address
18000 DEVONSHIRE ST, ATTN: LEGAL DEPT., NORTHRIDGE, CA 91325-1219
(800) 933-3322
(818) 576-6228
Mailing address
18000 DEVONSHIRE ST, ATTN: MANAGED MARKETS, NORTHRIDGE, CA 91325-1219
(800) 646-4633
(818) 739-4843
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101284
CA
Other
Enumeration date
08/23/2005
Last updated
03/27/2023
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