Provider Demographics
NPI:1285644179
Name:YES I CAN DME INC
Entity Type:Organization
Organization Name:YES I CAN DME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARSHALL
Authorized Official - Middle Name:SANDER
Authorized Official - Last Name:POLLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-771-9900
Mailing Address - Street 1:79440 CORPORATE CENTER DR
Mailing Address - Street 2:STE 109
Mailing Address - City:LA QUINTA
Mailing Address - State:CA
Mailing Address - Zip Code:92253-7241
Mailing Address - Country:US
Mailing Address - Phone:760-771-9900
Mailing Address - Fax:760-771-9333
Practice Address - Street 1:79440 CORPORATE CENTER DR
Practice Address - Street 2:STE 109
Practice Address - City:LA QUINTA
Practice Address - State:CA
Practice Address - Zip Code:92253-7241
Practice Address - Country:US
Practice Address - Phone:760-771-9900
Practice Address - Fax:760-771-9333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHMDR 102685332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03116FMedicaid
CADME03116FMedicaid