Organization
WHEELCHAIRS OF SAN MATEO
Active
Other names
WHEELCHAIR TECH.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO GUTIERREZ (OWNER)
(650) 342-4864
Entity
Organization
Contact information
Practice address
808 BURLWAY RD STE 7, BURLINGAME, CA 94010-1710
(650) 342-4864
(650) 342-4868
Mailing address
808 BURLWAY RD STE 7, BURLINGAME, CA 94010-1710
(650) 342-4864
(650) 342-4868
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
100778
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01712F
—
CA
Enumeration date
11/13/2006
Last updated
08/22/2020
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