Santa Clara Ostomy & Medical Supply
NPI #1548268261 in San Jose, California
Provider Information
- NPI Number
- 1548268261
- Entity Type
- Organization
- Organization Name
- Santa Clara Ostomy & Medical Supply
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Jul 7, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2455 FOREST AVE
- City
- San Jose
- State
- California
- ZIP Code
- 95128-1505
- Phone
- (408) 296-7890
Authorized Official
- Name
- KATHY RICCARDI I, A.B.C CERTIFICATION
- Title
- MANAGER
- Phone
- (408) 296-7890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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