Provider Demographics
NPI:1508932567
Name:BELA MASLOBODSKY
Entity Type:Organization
Organization Name:BELA MASLOBODSKY
Other - Org Name:BEST WAY MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BELA
Authorized Official - Middle Name:
Authorized Official - Last Name:MASLOBODSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-345-8272
Mailing Address - Street 1:18305 SHERMAN WAY # 27
Mailing Address - Street 2:
Mailing Address - City:RESEDA
Mailing Address - State:CA
Mailing Address - Zip Code:91335-4425
Mailing Address - Country:US
Mailing Address - Phone:818-345-8272
Mailing Address - Fax:818-345-8272
Practice Address - Street 1:18305 SHERMAN WAY # 27
Practice Address - Street 2:
Practice Address - City:RESEDA
Practice Address - State:CA
Practice Address - Zip Code:91335-4425
Practice Address - Country:US
Practice Address - Phone:818-345-8272
Practice Address - Fax:818-345-8272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103146332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4280550001Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
CA4280550001Medicare NSC