Provider Demographics
NPI:1881229193
Name:SUZY HAJJAR
Entity Type:Organization
Organization Name:SUZY HAJJAR
Other - Org Name:MEDIBELLA MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-879-3260
Mailing Address - Street 1:263 W OLIVE AVE # 152
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1825
Mailing Address - Country:US
Mailing Address - Phone:818-879-3260
Mailing Address - Fax:818-422-1611
Practice Address - Street 1:14401 GILMORE ST STE 203
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91401-6269
Practice Address - Country:US
Practice Address - Phone:818-879-3260
Practice Address - Fax:818-422-1611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies