Provider Demographics
NPI:1548455983
Name:STEFANY'S MEDICAL EQUIPMENT, INC
Entity type:Organization
Organization Name:STEFANY'S MEDICAL EQUIPMENT, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BLANARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-908-0020
Mailing Address - Street 1:13655 VANOWEN ST
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91405-4262
Mailing Address - Country:US
Mailing Address - Phone:818-908-0020
Mailing Address - Fax:818-908-0022
Practice Address - Street 1:13655 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91405-4262
Practice Address - Country:US
Practice Address - Phone:818-908-0020
Practice Address - Fax:818-908-0022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5982140001Medicare NSC