Organization
EAST BAY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO ABLAY SAUCELO REGISTERED NURSE (OWNER)
(925) 783-4059
Entity
Organization
Contact information
Practice address
5421 LONE TREE WAY STE 150, BRENTWOOD, CA 94513-5380
(925) 783-4059
(800) 886-8651
Mailing address
5421 LONE TREE WAY STE 150, BRENTWOOD, CA 94513-5380
(925) 783-4059
(800) 886-8651
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
48468
CA
Other
Enumeration date
03/29/2008
Last updated
11/01/2011
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