Willie'S Specialty Shop

LBN: Gary Toler
Willie'S Specialty Shop is an health care organization with primary practice located at 392 S Tustin St , Orange CA 92866-2502. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Gary Toler can be contacted via phone (714) 771-4310, or through Toler, Gary Paul via phone (714) 771-4312.

Contact Information

Primary practice address
392 S Tustin St Orange CA 92866-2502
Phone: (714) 771-4310
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Toler, Gary Paul
Phone: (714) 771-4312

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X I-105963-L California

Profile Details

NPI number 1417088899
LBN Legal business name Gary Toler
DBA Doing business as Willie'S Specialty Shop
Authorized official Toler, Gary Paul
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Aug 27th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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