Organization
SANTA CLARA OSTOMY & MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY RICCARDI I A.B.C CERTIFICATION (MANAGER)
(408) 296-7890
Entity
Organization
Contact information
Practice address
2455 FOREST AVE, SAN JOSE, CA 95128-1505
(408) 296-7890
(408) 296-5225
Mailing address
2455 FOREST AVE, SAN JOSE, CA 95128-1505
(408) 296-7890
(408) 296-5225
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME00482F
—
CA
Enumeration date
07/07/2005
Last updated
07/21/2022
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