Organization
SMART MEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JULIETA ESTEBAN ANTONIO RN, DON (GENERAL MANAGER)
(818) 772-4979
Entity
Organization
Contact information
Practice address
18701 PARTHENIA ST STE 3, NORTHRIDGE, CA 91324-3814
(818) 772-4979
Mailing address
18701 PARTHENIA ST STE 3, NORTHRIDGE, CA 91324-3814
(818) 772-4979
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME02570F
—
CA
Enumeration date
09/14/2006
Last updated
08/22/2020
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