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NPI Code Detail

MEDICARE: UNGORAS INC.

MEDICARE: UNGORAS 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 Supplies52732CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700869245
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNGORAS INC.
Provider Business Mailing Address
First Line : 1319 CENTRAL AVENUE
Second Line : SUITE A
City : SANTA ROSA
State : CA
Zip : 95401-4700
Country : US
Telephone Number : 707-523-0516
Fax Number : 415-276-6350
Provider Business Practice Location Address
First Line : 1319 CENTRAL AVENUE
Second Line : SUITE A
City : SANTA ROSA
State : CA
Zip : 95401-4700
Country : US
Telephone Number : 707-523-0516
Fax Number : 415-276-6350
Authorized Official
Title or Position : PRESIDENT
Name : MR. WILLIAM L FOURNIER
Credential :
Telephone Number : 707-523-0516
Provider Enumeration Date : 11/29/2005
Last Update Date : 04/12/2010

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Directions to “UNGORAS INC. ” Practice Location

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