MEDICARE: ONE CALL MEDICAL SERVICES INC

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	43479	CA

General Provider Information

NPI Number	:	1437295995
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONE CALL MEDICAL SERVICES INC

Provider Business Mailing Address
First Line	:	6214 THORNTON AVENUE
Second Line	:	SUITE B
City	:	NEWARK
State	:	CA
Zip	:	94560-3732
Country	:	US
Telephone Number	:	510-505-0333
Fax Number	:	510-505-0396

Provider Business Practice Location Address
First Line	:	6214 THORNTON AVENUE
Second Line	:	SUITE B
City	:	NEWARK
State	:	CA
Zip	:	94560-3732
Country	:	US
Telephone Number	:	510-505-0333
Fax Number	:	510-505-0396

Authorized Official
Title or Position	:	PRESIDENT
Name	:	UDUAK ETUN AKAN ETUK
Credential	:	MD
Telephone Number	:	510-505-0333

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

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