Healthcare Provider Details

I. General information

NPI: 1962233494
Provider Name (Legal Business Name): GEO-METRIC PROCUREMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 08/07/2024
Certification Date: 08/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 9TH ST UNIT 12
IMPERIAL BEACH CA
91932-1549
US

IV. Provider business mailing address

482 W SAN YSIDRO BLVD STE 414
SAN YSIDRO CA
92173-2444
US

V. Phone/Fax

Practice location:
  • Phone: 949-568-7403
  • 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
# 2
Primary TaxonomyN
Taxonomy Code335V00000X
TaxonomyPortable X-ray and/or Other Portable Diagnostic Imaging Supplier
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: MR. GILBERTO MORALES
Title or Position: PRESIDENT
Credential:
Phone: 949-568-7403