Organization
OAKLAND MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN FOK (OWNER)
(510) 268-3228
Entity
Organization
Contact information
Practice address
823 HARRISON ST, OAKLAND, CA 94607-4422
(510) 268-3228
(510) 268-3238
Mailing address
823 HARRISON ST, OAKLAND, CA 94607-4422
(510) 268-3228
(510) 268-3238
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
102486
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME03067F
—
CA
Enumeration date
11/30/2005
Last updated
08/22/2020
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