# VISITING ANGELS MEDICAL SUPPLY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1205580891
- **Authorized official:** NICOLAS FUENTES (MANAGER)
- **Authorized official phone:** (925) 639-0976

## Contact information

- **Practice address:** 1799 OLD BAYSHORE HWY STE 168C, BURLINGAME, CA 94010-1319
- **Practice address phone:** (650) 518-1331
- **Practice address fax:** (650) 733-0425
- **Mailing address:** 337 INNISFREE DR, DALY CITY, CA 94015-4359
- **Mailing address phone:** (650) 518-1331

## Taxonomy

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

## Other

- **Enumeration date:** 02/11/2022
- **Last updated:** 02/11/2022