Organization
CARDIOSOM, LLC
Active
Other names
CardioSom of San Leandro
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN GREISL (PRESIDENTCOO)
(317) 706-1080
Entity
Organization
Contact information
Practice address
13939 E 14TH ST, SUITE190, SAN LEANDRO, CA 94578-2613
(510) 614-6686
Mailing address
615 W CARMEL DR, SUITE 100, CARMEL, IN 46032-2996
(800) 868-1920
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
06/29/2007
Last updated
08/22/2020
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