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General NPI Number Information
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NPI Number | 1295239127
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Entity Type | Organization
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Legal Business Name | RESTORE MEDICAL, INC.
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 07/31/2020
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Provider Practice Location Address
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Address Line | 475 CENTURY PARK DR. SUITE A
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City | YUBA CITY
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State | CA
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Zip | 95993
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Country | US
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Telephone | 530-605-2114
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Fax | 530-443-2845
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Provider Business Mailing Address
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Address Line | 2147 COURT ST
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City | REDDING
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State | CA
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Zip | 96001-2531
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Country | US
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Telephone | 530-605-4292
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Fax | 530-269-2525
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Authorized Official
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Title or Position | COO
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Name | KATI AUXIER
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Credential |
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Telephone | 925-523-7670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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