Organization
DOC'S MEDICAL MART
Active
Other names
BISCHCFF'S MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN BISCHOFF (SECRETARY)
(831) 338-6552
Entity
Organization
Contact information
Practice address
2900 TELEGRAPH AVE, OAKLAND, CA 94609-3503
(510) 622-0015
(510) 622-0018
Mailing address
19100 BIG BASIN WAY, BOULDER CREEK, CA 95006-8570
(831) 338-6552
(831) 338-7777
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44857
CA
Other
Enumeration date
10/10/2006
Last updated
11/09/2007
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