Provider Demographics
NPI:1770593881
Name:REDOX MEDICAL SERVICES
Entity type:Organization
Organization Name:REDOX MEDICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.O.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:ALVIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SARTIAGUDA
Authorized Official - Suffix:
Authorized Official - Credentials:RESPIRATORY THERAPIS
Authorized Official - Phone:510-333-5139
Mailing Address - Street 1:20997 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94541-1511
Mailing Address - Country:US
Mailing Address - Phone:510-886-8708
Mailing Address - Fax:510-886-8708
Practice Address - Street 1:20997 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94541-1511
Practice Address - Country:US
Practice Address - Phone:510-886-8708
Practice Address - Fax:510-886-8708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA100693332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies