Provider Demographics
NPI:1518090174
Name:ALANS WHEELCHAIRS & MEDICAL PRODUCTS
Entity Type:Organization
Organization Name:ALANS WHEELCHAIRS & MEDICAL PRODUCTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUG
Authorized Official - Middle Name:A
Authorized Official - Last Name:ENSOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-870-9840
Mailing Address - Street 1:109 S HARBOR BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-1816
Mailing Address - Country:US
Mailing Address - Phone:714-870-9840
Mailing Address - Fax:714-870-9839
Practice Address - Street 1:109 S HARBOR BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-1816
Practice Address - Country:US
Practice Address - Phone:714-870-9840
Practice Address - Fax:714-870-9839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA4258960001Medicare ID - Type Unspecified