Healthcare Provider Details

I. General information

NPI: 1952844474
Provider Name (Legal Business Name): TNT FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2016
Last Update Date: 12/01/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1003 S PRAIRIE AVE
INGLEWOOD CA
90301-4119
US

IV. Provider business mailing address

4859 W SLAUSON AVE SUITE 340
LOS ANGELES CA
90056-1290
US

V. Phone/Fax

Practice location:
  • Phone: 310-988-1558
  • Fax: 310-673-4778
Mailing address:
  • Phone: 310-988-1558
  • Fax: 310-673-4778

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number425230
License Number StateCA

VIII. Authorized Official

Name: ROCKY FIERRO
Title or Position: MANAGER
Credential:
Phone: 626-806-8277