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NPI Code Detail

MEDICARE: CENTRAL MEDICAL SUPPLY, INC

MEDICARE: CENTRAL MEDICAL SUPPLY, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies5174260001CA

General Provider Information

NPI Number : 1366590689
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL MEDICAL SUPPLY, INC
Provider Business Mailing Address
First Line : 2344 EL CAMINO REAL
Second Line : 110
City : SANTA CLARA
State : CA
Zip : 95050-4072
Country : US
Telephone Number : 408-260-8884
Fax Number :
Provider Business Practice Location Address
First Line : 2344 EL CAMINO REAL
Second Line : 110
City : SANTA CLARA
State : CA
Zip : 95050-4072
Country : US
Telephone Number : 408-260-8884
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : HUN BYOUNG AN
Credential :
Telephone Number : 408-260-8884
Provider Enumeration Date : 01/05/2007
Last Update Date : 08/22/2020

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Directions to “CENTRAL MEDICAL SUPPLY, INC ” Practice Location

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