# DOC'S MEDICAL MART

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bischoff's Medical Supplies
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356485361
- **Authorized official:** JOCELYN BISCHOFF (OWNER)
- **Authorized official phone:** (831) 338-6552

## Contact information

- **Practice address:** 4670 CENTRAL WAY STE B, FAIRFIELD, CA 94534-1806
- **Practice address phone:** (707) 864-6680
- **Practice address fax:** (707) 864-1140
- **Mailing address:** 19100 BIG BASIN WAY, BOULDER CREEK, CA 95006-8570
- **Mailing address phone:** (831) 338-6552
- **Mailing address fax:** (831) 338-7777

## Taxonomy

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

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 07/21/2022