MEDICARE: GLOBAL MOBILITY ACCESS

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	2910842	CA

General Provider Information

NPI Number	:	1619196102
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL MOBILITY ACCESS

Provider Business Mailing Address
First Line	:	7902 GERBER RD # 163
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-4352
Country	:	US
Telephone Number	:	916-383-2389
Fax Number	:	916-383-2389

Provider Business Practice Location Address
First Line	:	6778 VILLA JUARES CIR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-1331
Country	:	US
Telephone Number	:	916-383-2389
Fax Number	:	916-383-2389

Authorized Official
Title or Position	:	DIRECTOR
Name	:	TOM NGUYEN
Credential	:
Telephone Number	:	916-383-2389

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	08/22/2020

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