Organization
TENGIZ IOSEBASHVILI
Active
Other names
Royal Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TENGIZ IOSEBASHVILI (OWNER)
(415) 431-9900
Entity
Organization
Contact information
Practice address
1024 MISSION ST, SAN FRANCISCO, CA 94103-2813
(415) 431-9900
Mailing address
1024 MISSION ST, SAN FRANCISCO, CA 94103-2813
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
916545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01910F
—
CA
Enumeration date
07/29/2006
Last updated
06/26/2008
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