Healthcare Provider Details

I. General information

NPI: 1134046303
Provider Name (Legal Business Name): GUIELLERMO TAYS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 ROSE AVE
CERES CA
95307-3424
US

IV. Provider business mailing address

2700 ROSE AVE
CERES CA
95307-3424
US

V. Phone/Fax

Practice location:
  • Phone: 888-284-4224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: GUIELLERMO TAYS
Title or Position: CEO
Credential:
Phone: 888-284-4224