# MAISNER MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538516836
- **Authorized official:** MR. STEVEN MAISNER (PRESIDENT)
- **Authorized official phone:** (818) 455-3525

## Contact information

- **Practice address:** 19528 VENTURA BLVD \# 748, TARZANA, CA 91356-2917
- **Practice address phone:** (818) 455-3525
- **Mailing address:** 19528 VENTURA BLVD \# 748, TARZANA, CA 91356-2917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2016
- **Last updated:** 05/17/2016