Provider Demographics
NPI:1760667638
Name:PULMONARY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PULMONARY SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SONEKEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-290-8636
Mailing Address - Street 1:7660 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-2786
Mailing Address - Country:US
Mailing Address - Phone:877-290-8636
Mailing Address - Fax:877-807-6561
Practice Address - Street 1:3765 BRICKWAY BLVD
Practice Address - Street 2:STE 103
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403
Practice Address - Country:US
Practice Address - Phone:877-290-8636
Practice Address - Fax:877-807-6561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-09
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48458332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4807060003Medicare NSC