Geoffery Odega in Santa Ana - Customized Equipment
Geoffery Odega - NPI 1114090693
Geoffery Odega is a Customized Equipment in Santa Ana, California. Geoffery Odega practices all healthcare services and medical treatments related to Customized Equipment. The NPI Number for Geoffery Odega is 1114090693. The last update date is 2008-06-19.
Geoffery Odega's current location address is 1905 E 17th St, Santa Ana, California. You can contact this provider via phone number 7144800098 and fax number 7144800081. The mailing address for Geoffery Odega is 1905 E 17th St, Santa Ana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Geoffery Odega |
|---|---|
| Address | 1905 E 17th St, Santa Ana, California |
| Phone Number | 7144800098 |
| Fax Number | 7144800081 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Odega Geoffery |
| Telephone Number | 7144800098 |
NPI Number Detail
| NPI Number | 1114090693 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 1905 E 17th St |
|---|---|
| City | Santa Ana |
| State | California (CA) |
| Post Code | 927058628 |
| Phone Number | 7144800098 |
| Fax Number | 7144800081 |
Provider's Primary Taxonomy Detail
| Speciality | Customized Equipment |
|---|---|
| Taxonomy | 332Bc3200X |
| Licence No | 45855 |
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Definition: Custom-made durable medical equipment prescribed by a provider to meet a patient’s unique needs. |
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What is the unique 10-digit identifier code assigned to Geoffery Odega by the Centers for Medicare & Medicaid Services?
The Geoffery Odega has been issued the NPI (National Provider Identifier) 1114090693 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Geoffery Odega?
The Geoffery Odega is physically situated at 1905 E 17Th St, in the city of Santa Ana, state of CA, with the postal code 927058628.
What is the Geoffery Odega's specialty and taxonomy code?
The Geoffery Odega's specialty is Customized Equipment, and the corresponding taxonomy code is 332Bc3200X.
When was the Geoffery Odega's 1114090693 issued?
The Geoffery Odega's 1114090693 was issued on 2006-11-15.
As of what date were the Geoffery Odega's details last updated?
The information pertaining to the Geoffery Odega, including its address, specialty, and other details, was most recently updated on 2008-06-19.
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