Organization
JO QUILICI
Active
Other names
Allied Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JO QUILICI (OWNER)
(510) 233-4707
Entity
Organization
Contact information
Practice address
2711 MACDONALD AVE, RICHMOND, CA 94804
(510) 233-4707
(510) 233-4307
Mailing address
2711 MACDONALD AVE, RICHMOND, CA 94804
(510) 233-4707
(510) 233-4307
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
100006
CA
335E00000X
Prosthetic/Orthotic Supplier
Primary
100006
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00928F
—
CA
Enumeration date
03/31/2006
Last updated
09/11/2025
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