Provider Demographics
NPI:1386675239
Name:MOBILITY SOLUTIONS INC
Entity Type:Organization
Organization Name:MOBILITY SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:FRELKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-278-0591
Mailing Address - Street 1:1001 E COOLEY DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:COLTON
Mailing Address - State:CA
Mailing Address - Zip Code:92324-3941
Mailing Address - Country:US
Mailing Address - Phone:909-824-2185
Mailing Address - Fax:909-824-0958
Practice Address - Street 1:1001 E COOLEY DR
Practice Address - Street 2:SUITE 104
Practice Address - City:COLTON
Practice Address - State:CA
Practice Address - Zip Code:92324-3941
Practice Address - Country:US
Practice Address - Phone:909-824-2185
Practice Address - Fax:909-824-0958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101708332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME3111FMedicaid
CADME3111FMedicaid