Organization
NORTH COAST MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHAJA HUSSAIN KHAN (PRESIDENT)
(415) 532-5800
Entity
Organization
Contact information
Practice address
215 BAYVIEW ST APT 109, SAN RAFAEL, CA 94901-4963
(415) 532-5800
Mailing address
215 BAYVIEW ST APT 109, SAN RAFAEL, CA 94901-4963
(415) 532-5800
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
23400
CA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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