Healthcare Provider Details

I. General information

NPI: 1720920879
Provider Name (Legal Business Name): TWANA ELAINE MAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1417 W 67TH ST
LOS ANGELES CA
90047-2015
US

IV. Provider business mailing address

1417 W 67TH ST
LOS ANGELES CA
90047-2015
US

V. Phone/Fax

Practice location:
  • Phone: 424-210-1128
  • Fax:
Mailing address:
  • Phone: 424-210-1128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: