St Mary Medical Group, LLC
St Mary Medical Group, LLC is a Durable Medical Equipment & Medical Supplies in Idyllwild, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
54391 Village Center Dr # 6Idyllwild, CA 92549-9997
Phone: (951) 659-2135
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X · Licence 56117 (CA) |
|---|---|
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X · Licence PHY48585 (CA) |
Record details
| NPI number | 1477760379 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James La Ponza — Vice President/Pharmacist-In-Charge · (951) 659-2135 |
| Other names | Idyllwild Pharmacy |
| NPI enumerated | May 17, 2007 |
| Last updated in NPPES | December 26, 2018 |
| Mailing address | 54391 Village Center Dr # 6, Idyllwild, CA 92549-9997 |