Healthcare Provider Details

I. General information

NPI: 1720215692
Provider Name (Legal Business Name): OCULUS INNOVATIVE SCIENCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2009
Last Update Date: 06/17/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1129 N MCDOWELL BLVD
PETALUMA CA
94954-1110
US

IV. Provider business mailing address

1129 N MCDOWELL BLVD
PETALUMA CA
94954-1110
US

V. Phone/Fax

Practice location:
  • Phone: 707-283-0550
  • Fax:
Mailing address:
  • Phone: 707-283-0550
  • 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: MR. HOJABR ALIMI
Title or Position: CEO/PRESIDENT
Credential: BS
Phone: 707-283-0550