Organization Name: | RELIANCE MEDICAL SUPPLY, LLC |
NPI Number: | 1770850703 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JULIA CU (OWNER) |
Mailing Address: | 240 S Hillview Dr Milpitas |
State: | CA US |
Postal Code: | 950355447 |
Phone Number: | 4082637070 |
Fax Number: | |
NPI Enumeration Date: | 11/18/2011 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | B-OC11-0159 |
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 |