Organization
FASTSERV MOBILITY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VENESSA N DIXON (CFO)
(510) 236-8101
Entity
Organization
Contact information
Practice address
10945 SAN PABLO AVE, EL CERRITO, CA 94530-2338
(510) 236-8101
(510) 236-8082
Mailing address
10945 SAN PABLO AVE, EL CERRITO, CA 94530-2338
(510) 236-8101
(510) 236-8082
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
101793
CA
332B00000X
Durable Medical Equipment & Medical Supplies
5156830001
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02213F
—
CA
05
—
DME02213G
—
CA
Enumeration date
10/05/2005
Last updated
06/23/2008
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