Provider Demographics
NPI:1538789599
Name:FEM PATCH CO
Entity type:Organization
Organization Name:FEM PATCH CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:SOHILA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-577-6917
Mailing Address - Street 1:106 BEACHCOMBER DR
Mailing Address - Street 2:
Mailing Address - City:PISMO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93449-1612
Mailing Address - Country:US
Mailing Address - Phone:925-577-6917
Mailing Address - Fax:
Practice Address - Street 1:1700 4TH ST STE 214
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2330
Practice Address - Country:US
Practice Address - Phone:925-577-6917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-20
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies