Organization
INTEGRA PATH ONLINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERON THOMAS (OWNER)
(929) 494-1034
Entity
Organization
Contact information
Practice address
1203 E BADILLO ST APT C, COVINA, CA 91724-3016
(929) 494-1034
Mailing address
734 S FIRCROFT AVE, COVINA, CA 91723-3317
(929) 494-1034
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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