Organization Name: | MEDIDON, LLC |
NPI Number: | 1073784963 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN A BLAIR (MANAGER) |
Mailing Address: | 333 Cobalt Way Suite 103 Sunnyvale |
State: | CA US |
Postal Code: | 940855402 |
Phone Number: | 4083315196 |
Fax Number: | 4083288201 |
NPI Enumeration Date: | 03/18/2008 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 00002005 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |