Jack Querequincia in Simi Valley - Durable Medical Equipment & Medical Supplies
Jack Querequincia - NPI 1376544114
Jack Querequincia is a Durable Medical Equipment & Medical Supplies in Simi Valley, California. Jack Querequincia practices all healthcare services and medical treatments related to Durable Medical Equipment & Medical Supplies. The NPI Number for Jack Querequincia is 1376544114. The last update date is 2020-08-22.
Jack Querequincia's current location address is 2375 Sycamore Dr, Simi Valley, California. You can contact this provider via phone number 8055815905 and fax number 8055811478. The mailing address for Jack Querequincia is 2375 Sycamore Dr, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jack Querequincia |
|---|---|
| Address | 2375 Sycamore Dr, Simi Valley, California |
| Phone Number | 8055815905 |
| Fax Number | 8055811478 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Querequincia Daniel Jack |
| Telephone Number | 8055815905 |
NPI Number Detail
| NPI Number | 1376544114 |
|---|---|
| Provider Enumeration Date | 2005-08-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2375 Sycamore Dr |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930652787 |
| Phone Number | 8055815905 |
| Fax Number | 8055811478 |
Provider's Primary Taxonomy Detail
| Speciality | Durable Medical Equipment & Medical Supplies |
|---|---|
| Taxonomy | 332B00000X |
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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's use in the home and that are usable for an extended period of time. |
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What is the Jack Querequincia's unique identification number?
The Jack Querequincia has been assigned the NPI (National Provider Identifier) Number 1376544114 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Jack Querequincia is located?
The Jack Querequincia is situated at the following address: 2375 Sycamore Dr, Simi Valley, CA, 930652787.
What is Jack Querequincia's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Querequincia's area of specialization is Durable Medical Equipment & Medical Supplies, and the corresponding taxonomy code that categorizes this field of practice is 332B00000X.
When did the Jack Querequincia receive its 1376544114?
The Jack Querequincia was issued its 1376544114 on 2005-08-02, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Jack Querequincia, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jack Querequincia, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.