# MILLBRAE MEDICAL SUPPLY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013907468
- **Authorized official:** MR. OLIVER W FRIEDAUER (PRESIDENT)
- **Authorized official phone:** (650) 593-2188

## Contact information

- **Practice address:** 425 OLD COUNTY RD STE C, BELMONT, CA 94002-2500
- **Practice address phone:** (650) 593-2188
- **Practice address fax:** (650) 593-2044
- **Mailing address:** 425 OLD COUNTY RD STE C, BELMONT, CA 94002-2500
- **Mailing address phone:** (650) 593-2188
- **Mailing address fax:** (650) 593-2044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | DME00543F | CA | Yes |

## Other

- **Enumeration date:** 10/26/2005
- **Last updated:** 11/19/2013