Provider Demographics
NPI:1962951186
Name:RECALDE, ARMANDO JOSE
Entity type:Individual
Prefix:MR
First Name:ARMANDO
Middle Name:JOSE
Last Name:RECALDE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 MONIER CIR STE A
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95742-6839
Mailing Address - Country:US
Mailing Address - Phone:916-852-0699
Mailing Address - Fax:916-852-0662
Practice Address - Street 1:3250 MONIER CIR STE A
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95742-6839
Practice Address - Country:US
Practice Address - Phone:916-852-0699
Practice Address - Fax:916-852-0662
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies