Provider Demographics
NPI:1851408181
Name:JASPAN MEDICAL SYSTEMS, INC.
Entity Type:Organization
Organization Name:JASPAN MEDICAL SYSTEMS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:B
Authorized Official - Last Name:JASPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-687-4455
Mailing Address - Street 1:3891 STATE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-3166
Mailing Address - Country:US
Mailing Address - Phone:805-687-4455
Mailing Address - Fax:805-687-4407
Practice Address - Street 1:3891 STATE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-3175
Practice Address - Country:US
Practice Address - Phone:805-687-4455
Practice Address - Fax:805-687-4407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA45001332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies