Healthcare Provider Details

I. General information

NPI: 1942149679
Provider Name (Legal Business Name): KINDCARE MEDICAL TRANSIT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 04/16/2026
Certification Date: 04/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 W MANCHESTER AVE APT 26
PLAYA DEL REY CA
90293-8184
US

IV. Provider business mailing address

8200 W MANCHESTER AVE APT 26
PLAYA DEL REY CA
90293-8184
US

V. Phone/Fax

Practice location:
  • Phone: 714-512-1007
  • Fax:
Mailing address:
  • Phone: 714-512-1007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: AARON PARKER
Title or Position: OWNER
Credential:
Phone: 714-512-1007