Organization
ONE SKY MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARITES RUBIO MADRIAGA RN (CEO/OWNER)
(408) 320-1318
Entity
Organization
Contact information
Practice address
1400 COLEMAN AVE, SUITE D14-2, SANTA CLARA, CA 95050-4309
(408) 320-1318
Mailing address
1400 COLEMAN AVE, SUITE D14-2, SANTA CLARA, CA 95050-4309
(408) 320-1318
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
72262
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
72262
CALIFORNIA DEPARTMENT OF PUBLIC HEALTH- HMDR LICENSE
CA
Enumeration date
10/11/2013
Last updated
10/11/2013
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