Provider Demographics
NPI:1851583496
Name:SUSAN SITARZ INCORPORATED
Entity Type:Organization
Organization Name:SUSAN SITARZ INCORPORATED
Other - Org Name:A PRIVATE AFFAIR OF SHERMAN OAKS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY/CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:HANS
Authorized Official - Middle Name:W
Authorized Official - Last Name:SITARZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-255-5533
Mailing Address - Street 1:24049 BLACKER HOUSE CT
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3315
Mailing Address - Country:US
Mailing Address - Phone:661-255-5533
Mailing Address - Fax:661-255-8768
Practice Address - Street 1:13720 BURBANK BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91401-5039
Practice Address - Country:US
Practice Address - Phone:818-989-8082
Practice Address - Fax:818-989-8091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-17
Last Update Date:2009-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA6000710001Medicare NSC