Organization
PATRIOT DISTRIBUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL J FRAIPONT MD (MANAGING PHYSICIAN)
(626) 795-8051
Entity
Organization
Contact information
Practice address
800 S RAYMOND AVE, PASADENA, CA 91105-3229
(626) 795-8051
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 795-8051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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