Santa Clara Ostomy & Medical Supply

LBN: Santa Clara Ostomy & Medical Supply
Santa Clara Ostomy & Medical Supply is an health care organization with primary practice located at 2455 Forest Ave , San Jose CA 95128-1505. The organization recently has only one registered license in Suppliers / Durable Medical Equipment & Medical Supplies, which is considered as the primary health care specialty. Santa Clara Ostomy & Medical Supply can be contacted via phone (408) 296-7890, or through Riccardi, Kathy via phone (408) 296-7890.

Contact Information

Primary practice address
2455 Forest Ave San Jose CA 95128-1505
Phone: (408) 296-7890
Fax: (408) 296-5225
Website:
Map and Directions
Authorized official contact:
Name: Riccardi, Kathy A.B.C CERTIFICATION
Phone: (408) 296-7890

Health care specialties

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

Profile Details

NPI number 1548268261
LBN Legal business name Santa Clara Ostomy & Medical Supply
DBA Doing business as
Authorized official Riccardi, Kathy A.B.C CERTIFICATION
Entity Organization
Organization subpart 1 No
Enumeration date Jul 7th, 2005
Last updated Jul 21st, 2022 - about 2 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 1548268261 NPPES
California MEDICAID DME00482F

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