Healthcare Provider Details

I. General information

NPI: 1518436583
Provider Name (Legal Business Name): INFINITY INTERNATIONAL GROUP OF AMERICA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2018
Last Update Date: 11/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1509 W PICO BLVD
LOS ANGELES CA
90015-2407
US

IV. Provider business mailing address

PO BOX 4808
DOWNEY CA
90241-1808
US

V. Phone/Fax

Practice location:
  • Phone: 562-222-4855
  • Fax:
Mailing address:
  • Phone: 562-222-4855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ISMAEL FRANCISCO
Title or Position: MANAGING DIRECTOR
Credential:
Phone: 562-243-5158