Healthcare Provider Details

I. General information

NPI: 1891773917
Provider Name (Legal Business Name): FREUDENBERG MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2006
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1110 MARK AVENUE
CARPINTERIA CA
93013
US

IV. Provider business mailing address

1110 MARK AVENUE
CARPINTERIA CA
93013
US

V. Phone/Fax

Practice location:
  • Phone: 800-477-5969
  • Fax: 888-371-1530
Mailing address:
  • Phone: 800-477-5969
  • Fax: 888-371-1530

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. CONSTANTINE DAVLANTES
Title or Position: VICE PRESIDENT/GM INHEALTH TECHNOLO
Credential:
Phone: 805-576-5473