GW Medical, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

SR AR 97-254624 Issued in CA

Legal business name

GW MEDICAL, LLC

Practice address

3418 Loma Vista Rd
Suite F
Ventura, CA 93003-3016

Phone

(805) 339-0280

Fax

(805) 339-0280

NPI assigned

Jun 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dean Harold Hewitt

Title

Manager/Owner

Phone

(805) 339-0280

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214697600000",
    "number": "1841452067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "SUITE F",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-339-0280",
            "fax_number": "805-339-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 LOMA VISTA RD",
            "address_2": "SUITE F",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033016",
            "telephone_number": "805-339-0280",
            "fax_number": "805-339-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GW MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-29",
        "last_updated": "2008-06-29",
        "status": "A",
        "authorized_official_last_name": "HEWITT",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "805-339-0280",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "SR AR 97-254624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Ventura, CA
• Providers in Ventura, CA by specialty
• Durable Medical Equipment & Medical Supplies in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.