Stephen T. Larsen

LBN: Diablo Medical Supply
Stephen T. Larsen is an health care organization with primary practice located at 1147 Alpine Rd , Walnut Creek CA 94596-4401. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Diablo Medical Supply can be contacted via phone (925) 947-6099, or through Larsen, Stephen T via phone (925) 947-6099.

Contact Information

Primary practice address
1147 Alpine Rd Walnut Creek CA 94596-4401
Phone: (925) 947-6099
Fax: (925) 947-6624
Website:
Map and Directions
Authorized official contact:
Name: Larsen, Stephen T
Phone: (925) 947-6099

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 100183 California

Profile Details

NPI number 1730241639
LBN Legal business name Diablo Medical Supply
DBA Doing business as Stephen T. Larsen
Authorized official Larsen, Stephen T
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Jun 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730241639 NPPES
California Other 100183 HMD RETAIL LICENSE NO.
California MEDICAID DME00939G HMD RETAIL LICENSE NO.

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