# TENGIZ IOSEBASHVILI

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Royal Medical Supply
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376557629
- **Authorized official:** MR. TENGIZ IOSEBASHVILI (OWNER)
- **Authorized official phone:** (415) 431-9900

## Contact information

- **Practice address:** 1024 MISSION ST, SAN FRANCISCO, CA 94103-2813
- **Practice address phone:** (415) 431-9900
- **Mailing address:** 1024 MISSION ST, SAN FRANCISCO, CA 94103-2813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 916545 | CA | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 06/26/2008