Provider Demographics
NPI:1376577551
Name:MARZEL'S INC.
Entity Type:Organization
Organization Name:MARZEL'S INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:O'BRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-227-1402
Mailing Address - Street 1:5980 STONERIDGE DR
Mailing Address - Street 2:SUITE 119
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-4518
Mailing Address - Country:US
Mailing Address - Phone:925-227-1402
Mailing Address - Fax:925-227-1037
Practice Address - Street 1:5980 STONERIDGE DR
Practice Address - Street 2:SUITE 119
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-4518
Practice Address - Country:US
Practice Address - Phone:925-227-1402
Practice Address - Fax:925-227-1037
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARZEL'S INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-11
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5507460002Medicare NSC