Healthcare Provider Details

I. General information

NPI: 1972263580
Provider Name (Legal Business Name): STABILITY MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2021
Last Update Date: 03/08/2023
Certification Date: 03/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 THIRD AVE STE 311
CHULA VISTA CA
91911-1310
US

IV. Provider business mailing address

815 THIRD AVE STE 311
CHULA VISTA CA
91911-1310
US

V. Phone/Fax

Practice location:
  • Phone: 619-732-3060
  • Fax: 844-288-8144
Mailing address:
  • Phone: 619-732-3060
  • Fax: 844-288-8144

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. FERNANDO VALENZUELA-VALDES
Title or Position: C.E.O.
Credential:
Phone: 619-732-3060