MEDICARE: HARBOR MEDICAL SERVICES, LLC

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
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332BC3200X	Customized Equipment (DME)

General Provider Information

NPI Number	:	1477689347
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARBOR MEDICAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	3162 NEWBERRY DR
Second Line	:	SUITE D
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1500
Country	:	US
Telephone Number	:	408-978-1197
Fax Number	:	408-978-2584

Provider Business Practice Location Address
First Line	:	3162 NEWBERRY DR
Second Line	:	SUITE D
City	:	SAN JOSE
State	:	CA
Zip	:	95118-1500
Country	:	US
Telephone Number	:	408-978-1197
Fax Number	:	408-978-2584

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	LISA BRACKEN
Credential	:
Telephone Number	:	408-978-1197

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	09/11/2025

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Directions to “HARBOR MEDICAL SERVICES, LLC ” Practice Location

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