Organization
TPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HANS HUCKESTEIN (OWNER)
(877) 801-4921
Entity
Organization
Contact information
Practice address
5963 OLIVAS PARK DR, VENTURA, CA 93003-7666
(877) 801-4921
Mailing address
5963 OLIVAS PARK DR, VENTURA, CA 93003-7666
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
087014-0
CA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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