Provider Demographics
NPI:1770397986
Name:FINEST MEDICAL SUPPLY LLC
Entity type:Organization
Organization Name:FINEST MEDICAL SUPPLY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTULAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-580-9508
Mailing Address - Street 1:341 VINAL DR
Mailing Address - Street 2:
Mailing Address - City:MANTECA
Mailing Address - State:CA
Mailing Address - Zip Code:95337-7868
Mailing Address - Country:US
Mailing Address - Phone:650-580-9508
Mailing Address - Fax:
Practice Address - Street 1:341 VINAL DR
Practice Address - Street 2:
Practice Address - City:MANTECA
Practice Address - State:CA
Practice Address - Zip Code:95337-7868
Practice Address - Country:US
Practice Address - Phone:650-580-9508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-06
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies