Organization
RAYMOND R. RENDON & ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND R RENDON B.C.O (OCULARIST)
(408) 297-4850
Entity
Organization
Contact information
Practice address
2120 FOREST AVE STE 2, SAN JOSE, CA 95128-1478
(408) 297-4850
(408) 297-0676
Mailing address
2120 FOREST AVE STE 2, SAN JOSE, CA 95128-1478
(408) 297-4850
(408) 297-0676
Taxonomy
Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4744627
—
CA
Enumeration date
05/16/2011
Last updated
12/10/2020
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