Organization
KMBR GROUP INC.
Active
Other names
Front Medical Supply Company
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLADYS KUIZON (CFO)
(510) 623-1065
Entity
Organization
Contact information
Practice address
4432 ENTERPRISE ST, UNIT I, FREMONT, CA 94538-6331
(510) 623-1065
(510) 623-1070
Mailing address
4432 ENTERPRISE ST, UNIT I, FREMONT, CA 94538-6331
(510) 623-1065
(510) 623-1070
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73453
DEPT. OF PUBLIC HEALTH FOOD & DRUG BRANCH - HOME MEDICAL DEVICE RETAIL LICENSE
CA
Enumeration date
01/23/2014
Last updated
05/19/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up