Provider Demographics
NPI:1972843381
Name:SMART MONITOR
Entity Type:Organization
Organization Name:SMART MONITOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANOO
Authorized Official - Middle Name:
Authorized Official - Last Name:NATHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-754-1695
Mailing Address - Street 1:6203 SAN IGNACIO AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1371
Mailing Address - Country:US
Mailing Address - Phone:408-754-1695
Mailing Address - Fax:408-754-8629
Practice Address - Street 1:6203 SAN IGNACIO AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1371
Practice Address - Country:US
Practice Address - Phone:408-754-1695
Practice Address - Fax:408-754-8629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies