MEDICARE: ADMIRAL MEDICAL SUPPLIES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1144299157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADMIRAL MEDICAL SUPPLIES LLC

Provider Business Mailing Address
First Line	:	357 EL CAMINO REAL
Second Line	:
City	:	MILLBRAE
State	:	CA
Zip	:	94030
Country	:	US
Telephone Number	:	650-697-0900
Fax Number	:	650-697-0970

Provider Business Practice Location Address
First Line	:	357 EL CAMINO REAL
Second Line	:
City	:	MILLBRAE
State	:	CA
Zip	:	94030
Country	:	US
Telephone Number	:	650-697-0900
Fax Number	:	650-697-0970

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	MR. JAMES MARTAIN SCUFFIL
Credential	:
Telephone Number	:	650-697-0900

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	08/22/2020

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