GARY TOLER NPI 1417088899

NPI Information

  • NPI: 1417088899
  • Provider Name: GARY TOLER
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: WILLIE'S SPECIALTY SHOP
  • Address: 392 S TUSTIN ST
    ORANGE, CA
    ZIP 92866
  • Phone: (714) 771-4310

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NPI Details

GARY TOLER is a durable medical equipment medical supplies in Orange, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. GARY TOLER NPI is 1417088899. The provider is registered as an organization entity type.
The provider Is Doing Business As Willie's Specialty Shop.

The provider's business location address is:

392 S TUSTIN ST
ORANGE, CA
ZIP 92866-502
Phone: (714) 771-4310

The provider's authorized official is Gary Paul Toler .
The authorized official title is Owner and has the following contact phone number (714) 771-4312.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 8/27/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesI-105963-LCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14480600001MEDICARE NSCCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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