Provider Demographics
NPI:1902134927
Name:RE-MOBILIZERS
Entity Type:Organization
Organization Name:RE-MOBILIZERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:O'DONNELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-896-2471
Mailing Address - Street 1:2081 BERING DR
Mailing Address - Street 2:STE. N
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131-2012
Mailing Address - Country:US
Mailing Address - Phone:408-437-7510
Mailing Address - Fax:877-466-4152
Practice Address - Street 1:2081 BERING DR
Practice Address - Street 2:STE. N
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2012
Practice Address - Country:US
Practice Address - Phone:408-437-7510
Practice Address - Fax:877-466-4152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-02
Last Update Date:2009-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52722332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies