Provider Demographics
NPI:1265478838
Name:CALIFORNIA CHOICE CAIR, INC.
Entity Type:Organization
Organization Name:CALIFORNIA CHOICE CAIR, INC.
Other - Org Name:CHOICE CAIR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:D
Authorized Official - Last Name:HORAN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:760-434-0837
Mailing Address - Street 1:390 OAK AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2966
Mailing Address - Country:US
Mailing Address - Phone:760-434-0837
Mailing Address - Fax:760-434-0838
Practice Address - Street 1:390 OAK AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2966
Practice Address - Country:US
Practice Address - Phone:760-434-0837
Practice Address - Fax:760-434-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA103868332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02978FMedicaid
CADME02978FMedicaid