Provider Demographics
NPI:1255711099
Name:DISCOVERY ELECTRIC BIKES & MOBILITY
Entity type:Organization
Organization Name:DISCOVERY ELECTRIC BIKES & MOBILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PONTES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-963-9373
Mailing Address - Street 1:4731 SPINNAKER WAY
Mailing Address - Street 2:
Mailing Address - City:DISCOVERY BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94505-9205
Mailing Address - Country:US
Mailing Address - Phone:925-963-9373
Mailing Address - Fax:925-634-8655
Practice Address - Street 1:13530 BYRON HWY
Practice Address - Street 2:
Practice Address - City:BYRON
Practice Address - State:CA
Practice Address - Zip Code:94514-2503
Practice Address - Country:US
Practice Address - Phone:925-963-9373
Practice Address - Fax:924-634-8655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-07
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment