Organization
TRIAD MEDICAL GROUP, INC.
Active
Other names
TRIAD MEDICAL SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH SILVA R.N. (PRESIDENT)
(619) 469-4421
Entity
Organization
Contact information
Practice address
5346 JACKSON DR STE B, LA MESA, CA 91942-6012
(619) 469-4421
(619) 469-4497
Mailing address
5346 JACKSON DR STE B, LA MESA, CA 91942-6012
(619) 469-4421
(619) 469-4497
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
45060
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03294F
—
CA
Enumeration date
09/13/2006
Last updated
01/20/2009
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