Provider Demographics
NPI:1043444375
Name:TELORAL, LLC
Entity Type:Organization
Organization Name:TELORAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:JAGUNICH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, MBA
Authorized Official - Phone:408-329-4438
Mailing Address - Street 1:3028 SCOTT BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-3320
Mailing Address - Country:US
Mailing Address - Phone:408-329-4438
Mailing Address - Fax:408-988-9979
Practice Address - Street 1:3028 SCOTT BLVD STE D
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-3320
Practice Address - Country:US
Practice Address - Phone:408-329-4438
Practice Address - Fax:408-988-9979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-14
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies