Provider Demographics
NPI:1972263580
Name:STABILITY MEDICAL EQUIPMENT
Entity Type:Organization
Organization Name:STABILITY MEDICAL EQUIPMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:MR
Authorized Official - First Name:FERNANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZUELA-VALDES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-732-3060
Mailing Address - Street 1:815 THIRD AVE STE 311
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91911-1310
Mailing Address - Country:US
Mailing Address - Phone:619-732-3060
Mailing Address - Fax:844-288-8144
Practice Address - Street 1:815 THIRD AVE STE 311
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91911-1310
Practice Address - Country:US
Practice Address - Phone:619-732-3060
Practice Address - Fax:844-288-8144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2023-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment