MEDICARE: WELLCOME TECHNOLOGY

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

General Provider Information

NPI Number	:	1871937854
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELLCOME TECHNOLOGY

Provider Business Mailing Address
First Line	:	6937 VILLAGE PKWY
Second Line	:	#2650
City	:	DUBLIN
State	:	CA
Zip	:	94568
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6937 VILLAGE PKWY
Second Line	:	#2650
City	:	DUBLIN
State	:	CA
Zip	:	94568
Country	:	US
Telephone Number	:	408-915-9562
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JI GUO
Credential	:
Telephone Number	:	408-915-9562

Provider Enumeration Date	:	04/22/2013
Last Update Date	:	04/22/2013

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