Organization
ITC MEDICAL SUPPLIES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FAINA KAUTSKY (VICE PRESIDENT)
(415) 387-7100
Entity
Organization
Contact information
Practice address
1635 DIVISADERO ST, SUITE 105, SAN FRANCISCO, CA 94115-3036
(415) 346-7100
(415) 346-7177
Mailing address
1635 DIVISADERO ST, SUITE 105, SAN FRANCISCO, CA 94115-3036
(415) 346-7100
(415) 346-7177
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/19/2013
Last updated
10/19/2013
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