Organization
SAN DIEGO AIR SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HORAN (PRESIDENT)
(858) 587-2700
Entity
Organization
Contact information
Practice address
9540 WAPLES ST, SUITE H, SAN DIEGO, CA 92121-2970
(858) 587-2700
(858) 587-2727
Mailing address
9540 WAPLES ST, SUITE H, SAN DIEGO, CA 92121-2970
(858) 587-2700
(858) 587-2727
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01697F
—
CA
Enumeration date
07/10/2006
Last updated
02/05/2010
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