# OLIVA MEDICAL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Duramed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255331179
- **Authorized official:** MICHAEL MONTGOMERY (PRESIDENT)
- **Authorized official phone:** (866) 699-2247

## Contact information

- **Practice address:** 760 5TH ST, DAVIS, CA 95616-4142
- **Practice address phone:** (866) 699-2247
- **Practice address fax:** (866) 699-2244
- **Mailing address:** 760 5TH ST, DAVIS, CA 95616-4142
- **Mailing address phone:** (866) 699-2247
- **Mailing address fax:** (866) 699-2244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 103129 | CA | Yes |

## Other

- **Enumeration date:** 07/21/2005
- **Last updated:** 05/08/2009