Organization
OLIVA MEDICAL INC
Active
Other names
Duramed
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL MONTGOMERY (PRESIDENT)
(866) 699-2247
Entity
Organization
Contact information
Practice address
760 5TH ST, DAVIS, CA 95616-4142
(866) 699-2247
(866) 699-2244
Mailing address
760 5TH ST, DAVIS, CA 95616-4142
(866) 699-2247
(866) 699-2244
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103129
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03078F
—
CA
Enumeration date
07/21/2005
Last updated
05/08/2009
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