Organization
GOLDEN VALLEY MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VILMA VILLAFLOR VIRTUSIO (PRESIDENT)
(909) 468-5757
Entity
Organization
Contact information
Practice address
20957 CURRIER RD, SUITE E, WALNUT, CA 91789-3047
(909) 468-5757
(909) 468-5416
Mailing address
20957 CURRIER RD, SUITE E, WALNUT, CA 91789-3047
(909) 468-5757
(909) 468-5416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DME02362G
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
06/01/2007
Last updated
09/11/2025
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