Organization
IMPLANTIUM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRUDY MAURER (CEO)
(415) 931-8862
Entity
Organization
Contact information
Practice address
1700 CALIFORNIA ST STE 340, SAN FRANCISCO, CA 94109-4589
(415) 931-8862
(415) 673-4582
Mailing address
PO BOX 640747, SAN FRANCISCO, CA 94164-0747
(415) 931-8862
(415) 673-4582
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
199916110010
CA
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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