Provider Demographics
NPI:1194741512
Name:CAIR MEDICAL INC
Entity type:Organization
Organization Name:CAIR MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-632-6903
Mailing Address - Street 1:1045 N SHEPARD ST
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92806-2817
Mailing Address - Country:US
Mailing Address - Phone:714-632-6903
Mailing Address - Fax:714-632-6865
Practice Address - Street 1:1045 N SHEPARD ST
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92806-2817
Practice Address - Country:US
Practice Address - Phone:714-632-6903
Practice Address - Fax:714-632-6865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-15
Last Update Date:2009-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA97716735332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME02366FMedicaid
CA=========OtherFEDERAL TAX ID NUMBER
CA1105650001Medicare PIN
CA1105650001Medicare NSC