Organization
PREMIUM DME RESOURCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAMIRO E. GONZALEZ (OWNER)
(562) 654-1600
Entity
Organization
Contact information
Practice address
9020 SLAUSON AVE STE 210, PICO RIVERA, CA 90660-4578
(562) 654-1600
(564) 654-1653
Mailing address
9020 SLAUSON AVE STE 210, PICO RIVERA, CA 90660-4578
(562) 654-1600
(564) 654-1653
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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