Individual provider · Type 1 NPI
Michael Ponco Fontelera
Durable Medical Equipment & Medical Supplies · Livermore, CA
Practice location
4049 First St, Suite 134
Livermore, CA 94551-5379
Fax (925) 249-1414
Mailing address
PO Box 2111
Livermore, CA 94551-2111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies Primary | 332B00000X | 44039 (CA) |
Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
About NPI 1164436382
Michael Ponco Fontelera's National Provider Identifier is 1164436382, issued on Jul 27, 2006. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Livermore, CA. The record was last updated on May 1, 2008.