# CKD MEDICAL SUPPLY

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

## Provider details

- **NPI number:** 1548548209
- **Authorized official:** MARIA CONCEPCION DAVID (OFFICER)
- **Authorized official phone:** (650) 296-9260

## Contact information

- **Practice address:** 333 GELLERT BLVD STE 132, DALY CITY, CA 94015-2614
- **Practice address phone:** (650) 296-9260
- **Mailing address:** 337 GELLERT BLVD. \# 132, DALY CITY, CA 94015-4359
- **Mailing address phone:** (650) 296-9260

## Taxonomy

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

## Other

- **Enumeration date:** 07/29/2011
- **Last updated:** 07/29/2011