Provider Demographics
NPI:1538702568
Name:CAN-AL MEDICAL SUPPLIES
Entity Type:Organization
Organization Name:CAN-AL MEDICAL SUPPLIES
Other - Org Name:CAN-AL MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CLETUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DURU
Authorized Official - Suffix:
Authorized Official - Credentials:EXEMPTEE
Authorized Official - Phone:916-690-3585
Mailing Address - Street 1:6650 FAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-4026
Mailing Address - Country:US
Mailing Address - Phone:916-333-5070
Mailing Address - Fax:916-333-5741
Practice Address - Street 1:6650 FAIR OAKS BLVD
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-4026
Practice Address - Country:US
Practice Address - Phone:916-333-5070
Practice Address - Fax:916-333-5741
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINCLE CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-22
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies