Organization
GOLDEN VALLEY MEDICAL & OXYGEN SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANN BOBBITT (CEO /PRESIDENT)
(909) 884-0445
Entity
Organization
Contact information
Practice address
424 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4014
(909) 884-0445
(909) 882-6358
Mailing address
424 W HIGHLAND AVE, SAN BERNARDINO, CA 92405-4014
(909) 884-0445
(909) 882-6358
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
M66550
CA
332BC3200X
Customized Equipment (DME)
M66550
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
M66550
CA
335E00000X
Prosthetic/Orthotic Supplier
M66550
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ40719Z
—
CA
Enumeration date
08/30/2006
Last updated
07/21/2022
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