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FRED SUFFICOOL & DAN GRIFFIN PTRS NPI 1508884271


NPI Information

NPI: 1508884271
Provider Name: FRED SUFFICOOL & DAN GRIFFIN PTRS

Doing Business As: TECHNICIAN SUPPORT SERVICES INDUSTRY, TSSI HOME MEDICAL EQUIPMENT

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
7200 PARKWAY DRIVE
SUITE 104
LA MESA, CA
ZIP 91942
Phone: (619) 644-2170
Get Directions

FRED SUFFICOOL & DAN GRIFFIN PTRS is a durable medical equipment medical supplies in La Mesa, CA. The provider is 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. FRED SUFFICOOL & DAN GRIFFIN PTRS NPI is 1508884271. The provider is registered as an organization entity type.
The provider Is Doing Business As Technician Support Services Industry, Tssi Home Medical Equipment.

The provider's business location address is:

7200 PARKWAY DRIVE
SUITE 104
LA MESA, CA
ZIP 91942-534
Phone: (619) 644-2170
Fax: (619) 644-2174

The provider's authorized official is Stephen J Griswold .
The authorized official title is Controller / Manager and has the following contact phone number (619) 644-2170.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 10/6/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2332B00000XDurable Medical Equipment & Medical SuppliesPHY44577CALIFORNIANo
33336L0003XPharmacyLong Term Care PharmacyNo
4332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PHA445770MEDICAIDCALIFORNIA
20828480001MEDICARE NSC
35614145OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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