Healthcare Provider Details

I. General information

NPI: 1689173338
Provider Name (Legal Business Name): STAR MARKETING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 02/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E BIRCH ST STE 2
CALEXICO CA
92231-5925
US

IV. Provider business mailing address

251 W MAIN ST STE G
BRAWLEY CA
92227-2202
US

V. Phone/Fax

Practice location:
  • Phone: 760-618-9285
  • Fax: 760-618-9240
Mailing address:
  • Phone: 760-351-9415
  • Fax: 760-618-9240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. PHILIP KUBECK
Title or Position: DIRECTOR OF ADMINISTRATION
Credential:
Phone: 760-618-9285