Healthcare Provider Details

I. General information

NPI: 1871690016
Provider Name (Legal Business Name): AABLE MEDICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 06/12/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2309 PALMETTO AVE B1
PACIFICA CA
94044-2736
US

IV. Provider business mailing address

2309 PALMETTO AVE B1
PACIFICA CA
94044-2736
US

V. Phone/Fax

Practice location:
  • Phone: 650-738-1223
  • Fax: 650-738-0818
Mailing address:
  • Phone: 650-738-1223
  • Fax: 650-738-0818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number101305
License Number StateCA

VIII. Authorized Official

Name: MRS. RUTH RECALDE
Title or Position: OWNER
Credential:
Phone: 650-738-1223