Healthcare Provider Details

I. General information

NPI: 1972094324
Provider Name (Legal Business Name): CALMAR INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2018
Last Update Date: 08/03/2022
Certification Date: 08/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2003 SOUTHERN BLVD NE SUITE 123
RIO RANCHO NM
87124
US

IV. Provider business mailing address

2003 SOUTHERN BLVD NE SUITE 123
RIO RANCHO NM
87124
US

V. Phone/Fax

Practice location:
  • Phone: 505-917-9344
  • Fax: 505-994-9014
Mailing address:
  • Phone: 505-917-9344
  • Fax: 505-994-9014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: CALVIN KOBAYASHI
Title or Position: CEO
Credential:
Phone: 505-256-1610