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NPI Code Detail

MEDICARE: OLBO INC

MEDICARE: OLBO 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 Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1113310OTHERCACALIFORNIA HME LICENSE

General Provider Information

NPI Number : 1528575743
Entity Type Code : Organization
Provider Name (Legal Business Name) : OLBO INC
Provider Business Mailing Address
First Line : 2515 CAMINO DEL RIO S STE 113
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3714
Country : US
Telephone Number : 888-464-9015
Fax Number :
Provider Business Practice Location Address
First Line : 2515 CAMINO DEL RIO S STE 113
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3714
Country : US
Telephone Number : 888-464-9015
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. TEMOER TERRY IV
Credential :
Telephone Number : 786-708-1646
Provider Enumeration Date : 01/09/2018
Last Update Date : 05/04/2023

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Directions to “OLBO INC ” Practice Location

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