Provider Demographics
NPI:1801842349
Name:ALLSTATE MEDICAL EQUIPMENT, INC.
Entity Type:Organization
Organization Name:ALLSTATE MEDICAL EQUIPMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-497-2171
Mailing Address - Street 1:2655 PARK CENTER DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-6209
Mailing Address - Country:US
Mailing Address - Phone:877-497-2171
Mailing Address - Fax:888-376-2141
Practice Address - Street 1:2655 PARK CENTER DR
Practice Address - Street 2:SUITE C
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-6209
Practice Address - Country:US
Practice Address - Phone:877-497-2171
Practice Address - Fax:888-376-2141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2011-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50776332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1801842349Medicaid
CA5701680001Medicare NSC