Organization
SB MEDICAL
Active
Other names
StomaBags
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOEL JOSEPH BECERRA (PRESIDENT)
(305) 600-4421
Entity
Organization
Contact information
Practice address
1440C 4TH ST, BERKELEY, CA 94710-1336
(305) 600-4421
(305) 517-3817
Mailing address
1440C 4TH ST, BERKELEY, CA 94710-1336
(305) 600-4421
(305) 517-3817
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/06/2012
Last updated
02/06/2012
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