Organization
LSG MEDICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF JOSEPH MOCNY (SENIOR CONSULTANT)
(408) 421-9989
Entity
Organization
Contact information
Practice address
3351 CALICO AVE, SAN JOSE, CA 95124-2532
(408) 421-9989
(866) 593-1766
Mailing address
3351 CALICO AVE, SAN JOSE, CA 95124-2532
(408) 421-9989
(866) 593-1766
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
201036110171
CA
Other
Enumeration date
05/23/2012
Last updated
05/23/2012
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