Organization Name: | MOBILITY MASTERS NORTHERN CALIFORNIA INC. |
NPI Number: | 1265539217 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RENATE SUSAN TIPSWORD (CEO) |
Mailing Address: | 1575 Farmers Lane Santa Rosa |
State: | CA US |
Postal Code: | 954057525 |
Phone Number: | 7075251994 |
Fax Number: | 7075251920 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 05/29/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 103424 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |