Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization
SUPPLEMENTAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMMY LAGMAN (PTA)
(650) 452-2477
Entity
Organization
Contact information
Practice address
333 GELLERT BLVD STE 150, DALY CITY, CA 94015-2690
(866) 758-4700
Mailing address
333 GELLERT BLVD, SUITE 150, DALY CITY, CA 94015-3003
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
AT 8865
CA
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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