Provider Demographics
NPI:1508021338
Name:ACCESS MOBILITY STORE
Entity Type:Organization
Organization Name:ACCESS MOBILITY STORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNBOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-606-2177
Mailing Address - Street 1:901 E WARDLOW RD
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-4629
Mailing Address - Country:US
Mailing Address - Phone:562-606-2177
Mailing Address - Fax:
Practice Address - Street 1:901 E WARDLOW RD
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-4629
Practice Address - Country:US
Practice Address - Phone:562-606-2177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:C & M SERVICES LLC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-07-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies