East Bay Medical Supply
NPI #1164694238 in Brentwood, California
Provider Information
- NPI Number
- 1164694238
- Entity Type
- Organization
- Organization Name
- East Bay Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Mar 29, 2008
- Last Updated
- Nov 1, 2011
Practice Location
- Address
- 5421 LONE TREE WAY STE 150
- City
- Brentwood
- State
- California
- ZIP Code
- 94513-5380
- Phone
- (925) 783-4059
Authorized Official
- Name
- MR. ANTONIO ABLAY SAUCELO, REGISTERED NURSE
- Title
- OWNER
- Phone
- (925) 783-4059
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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