Provider Demographics
NPI:1417084948
Name:RESPIRATORY THERAPY TECHNOLOGIES
Entity Type:Organization
Organization Name:RESPIRATORY THERAPY TECHNOLOGIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:FOICE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:RRT,RCP
Authorized Official - Phone:760-352-5188
Mailing Address - Street 1:1756 W HAMILTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-3716
Mailing Address - Country:US
Mailing Address - Phone:760-352-5188
Mailing Address - Fax:760-352-8442
Practice Address - Street 1:1756 W HAMILTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:EL CENTRO
Practice Address - State:CA
Practice Address - Zip Code:92243-3716
Practice Address - Country:US
Practice Address - Phone:760-352-5188
Practice Address - Fax:760-352-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA392666332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment