Organization
PITAL MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROLANDA TERICA BREAUX COP,CMF (CEO)
(866) 904-4171
Entity
Organization
Contact information
Practice address
333 S GRAND AVE STE 3310, LOS ANGELES, CA 90071-1538
(866) 904-4171
(866) 724-3130
Mailing address
333 S GRAND AVE STE 3310, LOS ANGELES, CA 90071-1538
(866) 904-4171
(866) 724-3130
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EIN
—
CA
Enumeration date
11/13/2006
Last updated
03/02/2022
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