Provider Demographics
NPI:1487683553
Name:WSG ENTERPRISES, INC
Entity Type:Organization
Organization Name:WSG ENTERPRISES, INC
Other - Org Name:DBA IN & OUT MOBILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOLDBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-324-7790
Mailing Address - Street 1:73800 DINAH SHORE DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-0838
Mailing Address - Country:US
Mailing Address - Phone:760-324-7790
Mailing Address - Fax:760-324-7886
Practice Address - Street 1:73800 DINAH SHORE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-0838
Practice Address - Country:US
Practice Address - Phone:760-324-7790
Practice Address - Fax:760-324-7886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2011-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03223FMedicaid
CADME03223FMedicaid