Organization
KOI CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE TOMLINSON (PRESIDENT)
(626) 215-4323
Entity
Organization
Contact information
Practice address
1200 E ROUTE 66, GLENDORA, CA 91740-6377
(626) 258-7996
Mailing address
1191 HUNTINGTON DR, #310, DUARTE, CA 91010-2400
(626) 215-4323
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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