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Contact Information

JO QUILICI
2711 MACDONALD AVE
RICHMOND, CA94804
 Phone: 510-233-4707
 Fax: 510-233-4307
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for JO QUILICI

NPI # 1346201902
LBN Legal business name JO QUILICI
Authorized official JO QUILICI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/31/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
CA License # 100006
CA Medicaid DME00928F
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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