Organization
GENESIS5 LLC
Active
Other names
5 star medical supply
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN PONCE (PARTNER)
(925) 324-2612
Entity
Organization
Contact information
Practice address
7066 VILLAGE PARKWAY, DUBLIN, CA 94568
(925) 324-2612
Mailing address
7066 VILLAGE PKWY, DUBLIN, CA 94568-2408
(925) 318-5555
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
474684618
CA
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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