Provider Demographics
NPI:1013662741
Name:PINNACLE DURABLE MEDICAL EQUIPMENT, LLC
Entity Type:Organization
Organization Name:PINNACLE DURABLE MEDICAL EQUIPMENT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELNAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEKARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:747-230-6530
Mailing Address - Street 1:22647 VENTURA BLVD
Mailing Address - Street 2:PMB 658
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1416
Mailing Address - Country:US
Mailing Address - Phone:805-870-4574
Mailing Address - Fax:805-870-4830
Practice Address - Street 1:2239 TOWNSGATE RD STE 111
Practice Address - Street 2:
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2405
Practice Address - Country:US
Practice Address - Phone:805-750-0572
Practice Address - Fax:805-870-4830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies