Organization
STIM IT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STAN KOLAKOSKY (MANAGER)
(714) 792-2804
Entity
Organization
Contact information
Practice address
4811 EUREKA AVE STE G4, YORBA LINDA, CA 92886-3368
(714) 792-2804
(714) 792-2800
Mailing address
4811 EUREKA AVE STE G4, YORBA LINDA, CA 92886-3368
(714) 792-2804
(714) 792-2800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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