Organization
RAM DURABLE MEDICAL EQUIPMENT, LLC
Active
Other names
Southern California Orthopedic Rehab Equipment
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW JOSEPH GRADER (OFFICER)
(858) 549-1771
Entity
Organization
Contact information
Practice address
4235 PACIFIC ST, UNIT C, ROCKLIN, CA 95677-2141
(760) 402-8096
Mailing address
7909 SILVERTON AVE, SUITE 214, SAN DIEGO, CA 92126-6347
(858) 549-1771
(858) 549-1777
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
77444
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9222139
—
CA
Enumeration date
12/01/2015
Last updated
12/01/2015
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