Provider Demographics
NPI:1629214127
Name:SECURE STEP LLC
Entity Type:Organization
Organization Name:SECURE STEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:H.
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:415-921-6200
Mailing Address - Street 1:3580 CALIFORNIA ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1725
Mailing Address - Country:US
Mailing Address - Phone:415-921-6200
Mailing Address - Fax:415-921-6206
Practice Address - Street 1:3580 CALIFORNIA ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1725
Practice Address - Country:US
Practice Address - Phone:415-921-6200
Practice Address - Fax:415-921-6206
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-05
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6527550001Medicare NSC