Organization
E. JAY D. DELAPENHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA DELAPENHA (OWNER)
(925) 846-0453
Entity
Organization
Contact information
Practice address
6920 KOLL CENTER PKWY, SUITE 222, PLEASANTON, CA 94566-3156
(925) 846-0453
Mailing address
6920 KOLL CENTER PKWY, SUITE 222, PLEASANTON, CA 94566-3156
(925) 846-0453
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
103718
CA
332BX2000X
Oxygen Equipment & Supplies (DME)
18404
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02584F
—
CA
Enumeration date
11/09/2007
Last updated
04/27/2011
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