Green Valley Laser, Llc in Freedom - Customized Equipment

Green Valley Laser, Llc - NPI 1669551271

Green Valley Laser, Llc is a Customized Equipment in Freedom, California. Green Valley Laser, Llc practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Green Valley Laser, Llc is 1669551271. The last update date is 2020-08-22.

Green Valley Laser, Llc's current location address is 160 Green Valley Rd, Freedom, California. You can contact this provider via phone number 8317222445 and fax number 8317226032. The mailing address for Green Valley Laser, Llc is 160 Green Valley Rd, Freedom, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Green Valley Laser, Llc
Address 160 Green Valley Rd, Freedom, California
Phone Number 8317222445
Fax Number 8317226032
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DIRECTOR
Authorized Official Name Benjamin S. David
Credentials M.D.
Telephone Number 8317222445

NPI Number Detail

NPI Number 1669551271
Provider Enumeration Date 2006-11-03
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 160 Green Valley Rd
City Freedom
State California (CA)
Post Code 950193160
Phone Number 8317222445
Fax Number 8317226032

Provider's Primary Taxonomy Detail

Speciality Customized Equipment
Taxonomy 332Bc3200X
Licence No G75256 MED D
Definition:
Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs.

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FAQs about Green Valley Laser, Llc

What is the unique 10-digit identifier code issued to Green Valley Laser, Llc by the Centers for Medicare & Medicaid Services?

The Green Valley Laser, Llc has been assigned the NPI (National Provider Identifier) 1669551271 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Green Valley Laser, Llc is physically located?

The Green Valley Laser, Llc is physically situated at the following address: 160 Green Valley Rd, Freedom, CA, 950193160.

What is Green Valley Laser, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Green Valley Laser, Llc is Customized Equipment, and the taxonomy code that categorizes this field of expertise is 332Bc3200X.

On what date did the Green Valley Laser, Llc receive the assignment of its 1669551271 from the Centers for Medicare & Medicaid Services?

The Green Valley Laser, Llc was issued its 1669551271 by the Centers for Medicare & Medicaid Services on 2006-11-03.

When was the information regarding Green Valley Laser, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Green Valley Laser, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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