GREEN VALLEY LASER LLC NPI 1669551271

NPI Information

NPI: 1669551271
Provider Name: GREEN VALLEY LASER, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
160 GREEN VALLEY RD
SUITE 201
FREEDOM, CA
ZIP 95019
Phone: (831) 722-2445
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GREEN VALLEY LASER, LLC is a customized equipment durable medical equipment medical supplies in Freedom, CA. GREEN VALLEY LASER, LLC NPI is 1669551271. The provider is registered as an organization entity type.

The provider's business location address is:

160 GREEN VALLEY RD
SUITE 201
FREEDOM, CA
ZIP 95019-160
Phone: (831) 722-2445
Fax: (831) 722-6032

The provider's authorized official is David S. Benjamin .
The authorized official title is Director and has the following contact phone number (831) 722-2445.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 8/22/2020.

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
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	G75256 MED DIRECTOR	CALIFORNIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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