Healthcare Provider Details

I. General information

NPI: 1760774442
Provider Name (Legal Business Name): ACE WHEELCHAIRS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2011
Last Update Date: 05/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2515 N BUENA VISTA ST
BURBANK CA
91504-2619
US

IV. Provider business mailing address

PO BOX 11071
BURBANK CA
91510-1071
US

V. Phone/Fax

Practice location:
  • Phone: 818-726-3421
  • Fax:
Mailing address:
  • Phone: 818-726-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ANTHONY CROHN
Title or Position: PRESIDENT
Credential:
Phone: 818-726-3421