Provider Demographics
NPI:1891983227
Name:GUARANTEED MEDICAL SUPPLY
Entity type:Organization
Organization Name:GUARANTEED MEDICAL SUPPLY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:EULOGIO
Authorized Official - Middle Name:AMADA
Authorized Official - Last Name:ACLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-793-9079
Mailing Address - Street 1:36393 NEWARK BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:CA
Mailing Address - Zip Code:94560-2501
Mailing Address - Country:US
Mailing Address - Phone:510-793-9079
Mailing Address - Fax:
Practice Address - Street 1:36393 NEWARK BLVD
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-2501
Practice Address - Country:US
Practice Address - Phone:510-793-9079
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100975332BN1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies