Organization
BRADEN PARTNERS LP
Active
Other names
Pacific Pulmonary Services
Organization subpart
No
Provider details
NPI number
Authorized official
JANE L THOMAS (CHIEF EXECUTIVE OFFICER)
(415) 893-1518
Entity
Organization
Contact information
Practice address
402 S MADERA AVE, SUITE B, MADERA, CA 93637-3204
(559) 661-0121
(559) 661-7940
Mailing address
8730 HARRIS RD, UNIT 204, BAKERSFIELD, CA 93311-8990
(661) 396-3720
(661) 832-6009
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01929F
—
CA
Enumeration date
07/26/2006
Last updated
09/10/2015
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