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Ice20 - Triad Sports Group, Llc
Durable Medical Equipment & Medical Supplies in Camarillo, California
NPI 1285964932

Ice20 - Triad Sports Group, Llc is a Durable Medical Equipment & Medical Supplies based in Camarillo, CA. Ice20 - Triad Sports Group, Llc practices in Camarillo, CA. The NPI Number for Ice20 - Triad Sports Group, Llc is 1285964932 and holds a License No. (California).

The current practice location address for Ice20 - Triad Sports Group, Llc is 4690 Calle Quetzal, Camarillo, CA and can be reached out via phone at 805-857-4172.

Location: 4690 Calle Quetzal, Camarillo, CA, 93012-8558
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285964932
Provider Name
Ice20 - Triad Sports Group, Llc
Credential
Provider Entity Type
Organization
Address
4690 Calle Quetzal, Camarillo, CA, 93012-8558
Phone Number
805-857-4172
Fax Number
Provider Enumeration Date
12/31/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4690 Calle Quetzal
City
Camarillo
State
California
Zip
93012-8558
Phone Number
805-857-4172
Fax Number
person
Provider Business Mailing Address Details
Address
4690 Calle Quetzal
City
Camarillo
State
California
Zip
93012-8558
Phone Number
805-857-4172
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
Definition
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.
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