Healthcare Provider Details
I. General information
NPI: 1457516189
Provider Name (Legal Business Name): CALI ASSISTED TRANSPORTATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/22/2008
Last Update Date: 07/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6505 ROSEMEAD BLVD SUITE. 106
PICO RIVERA CA
90660-3565
US
IV. Provider business mailing address
6505 ROSEMEAD BLVD SUITE. 106
PICO RIVERA CA
90660-3565
US
V. Phone/Fax
- Phone: 562-948-2328
- Fax: 562-948-2658
- Phone: 562-948-2328
- Fax: 562-948-2658
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347E00000X |
| Taxonomy | Transportation Broker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CARLOS
MURILLO
Title or Position: CEO
Credential: N/A
Phone: 562-948-2328