Healthcare Provider Details

I. General information

NPI: 1003610437
Provider Name (Legal Business Name): PEAK PERFORMANCE TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2025
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 W 38TH ST
LOS ANGELES CA
90037-1303
US

IV. Provider business mailing address

13159 PARAMOUNT BLVD
SOUTH GATE CA
90280-7955
US

V. Phone/Fax

Practice location:
  • Phone: 323-933-6838
  • Fax: 323-933-6838
Mailing address:
  • Phone: 323-933-6838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: YESENIA SALINAS
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 323-933-6838