Healthcare Provider Details

I. General information

NPI: 1497068167
Provider Name (Legal Business Name): ATP ENTERPRISES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2010
Last Update Date: 04/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4946 VALLEY RIDGE AVE
LOS ANGELES CA
90043-1052
US

IV. Provider business mailing address

2800 RODEO RD
LOS ANGELES CA
90018-4135
US

V. Phone/Fax

Practice location:
  • Phone: 213-309-4924
  • Fax:
Mailing address:
  • Phone: 323-299-4647
  • Fax: 323-299-4648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBRA ELAINE LEGANS
Title or Position: CEO
Credential:
Phone: 323-299-4647