Organization
QUALITY BIOMEDICAL EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNTANA ORLANDO NELSON (OWNER)
(619) 229-1506
Entity
Organization
Contact information
Practice address
7676 JACKSON DR, UNIT 7, SAN DIEGO, CA 92119-1500
(619) 229-1506
(619) 872-0043
Mailing address
7676 JACKSON DR, UNIT 7, SAN DIEGO, CA 92119-1500
(619) 229-1506
(619) 872-0043
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
47337
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03403F
—
CA
Enumeration date
11/07/2007
Last updated
11/07/2007
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