# SAFFRON'S SPECIALIZED MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Saffron's Specialized Medical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992026090
- **Authorized official:** SAFFRON GUSTAFSON CMF, MBA (OWNER, CEO)
- **Authorized official phone:** (503) 351-3974

## Contact information

- **Practice address:** 101 WIKIUP DR, SUITE C, SANTA ROSA, CA 95403-1375
- **Practice address phone:** (707) 526-0356
- **Practice address fax:** (707) 526-0376
- **Mailing address:** 101 WIKIUP DR, SUITE C, SANTA ROSA, CA 95403-1375
- **Mailing address phone:** (503) 351-3974
- **Mailing address fax:** (707) 526-0376

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 201012610143 | CA | Yes |

## Other

- **Enumeration date:** 06/13/2010
- **Last updated:** 09/19/2016