Provider Demographics
NPI:1376168591
Name:OGO-SMA SERVICES LLC
Entity Type:Organization
Organization Name:OGO-SMA SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JW
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-752-8883
Mailing Address - Street 1:8901 ACTIVITY RD STE 223
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4432
Mailing Address - Country:US
Mailing Address - Phone:858-922-1854
Mailing Address - Fax:888-837-8726
Practice Address - Street 1:8901 ACTIVITY RD STE 223
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126-4432
Practice Address - Country:US
Practice Address - Phone:858-922-1854
Practice Address - Fax:888-837-8726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-12
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies