Provider Demographics
NPI:1982790705
Name:GLOBAL DESIGN SOLUTIONS
Entity Type:Organization
Organization Name:GLOBAL DESIGN SOLUTIONS
Other - Org Name:IDEAL FEET
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BACKLUND
Authorized Official - Suffix:
Authorized Official - Credentials:PEDORTHIST
Authorized Official - Phone:951-304-7799
Mailing Address - Street 1:39835 N. GENERAL KEARNY ROAD
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-7347
Mailing Address - Country:US
Mailing Address - Phone:951-304-7799
Mailing Address - Fax:208-730-1269
Practice Address - Street 1:39835 N GENERAL KEARNY RD
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-7347
Practice Address - Country:US
Practice Address - Phone:951-304-7799
Practice Address - Fax:208-730-1269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5082180002Medicare ID - Type UnspecifiedDIABETIC SUPPLIES