Provider Demographics
NPI:1255505327
Name:MINH'S WHEELCHAIR SPECIALIST CORPORATION
Entity Type:Organization
Organization Name:MINH'S WHEELCHAIR SPECIALIST CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LOAN
Authorized Official - Middle Name:THI
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-226-0136
Mailing Address - Street 1:5962 LEAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-4326
Mailing Address - Country:US
Mailing Address - Phone:408-226-0136
Mailing Address - Fax:408-226-5941
Practice Address - Street 1:5962 LEAN AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-4326
Practice Address - Country:US
Practice Address - Phone:408-226-0136
Practice Address - Fax:408-226-5941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA232487332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment