Provider Demographics
NPI:1629104781
Name:SARMINTO MEDICAL PRODUCTS, INC.
Entity Type:Organization
Organization Name:SARMINTO MEDICAL PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEXANDRU
Authorized Official - Middle Name:
Authorized Official - Last Name:BALAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-768-7717
Mailing Address - Street 1:8217 LANKERSHIM BLVD
Mailing Address - Street 2:5
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91605-1605
Mailing Address - Country:US
Mailing Address - Phone:818-768-7717
Mailing Address - Fax:818-768-7718
Practice Address - Street 1:8217 LANKERSHIM BLVD
Practice Address - Street 2:5
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605-1605
Practice Address - Country:US
Practice Address - Phone:818-768-7717
Practice Address - Fax:818-768-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-25
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5939720001Medicare NSC