Organization Name: | PHYLLIS BORGARDT & ASSC., INC. |
NPI Number: | 1952350043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PHYLLIS L BORGARDT (PRESIDENT) |
Mailing Address: | 191 S Oak Park Blvd Suite #5 Grover Beach |
State: | CA US |
Postal Code: | 934332265 |
Phone Number: | 8054899335 |
Fax Number: | 8054899327 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 332B00000X |
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 |