Provider Demographics
NPI:1245666296
Name:THE PUMP CONNECTION, LLC
Entity type:Organization
Organization Name:THE PUMP CONNECTION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IBCLC/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:BURDITT
Authorized Official - Suffix:
Authorized Official - Credentials:IBCLC
Authorized Official - Phone:818-905-7867
Mailing Address - Street 1:14106 MAGNOLIA BLVD.
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3530
Mailing Address - Country:US
Mailing Address - Phone:818-905-7867
Mailing Address - Fax:818-905-7860
Practice Address - Street 1:14106 MAGNOLIA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3530
Practice Address - Country:US
Practice Address - Phone:818-905-7867
Practice Address - Fax:818-905-7860
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2014-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA000266832900010332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies