Healthcare Provider Details

I. General information

NPI: 1043923188
Provider Name (Legal Business Name): VIKIKA'S NON-EMERGENCY MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2023
Last Update Date: 01/04/2023
Certification Date: 01/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36282 ENNIS RD
SQUAW VALLEY CA
93675-9631
US

IV. Provider business mailing address

36282 ENNIS RD
SQUAW VALLEY CA
93675-9631
US

V. Phone/Fax

Practice location:
  • Phone: 559-374-7292
  • Fax:
Mailing address:
  • Phone: 559-374-7292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MRS. VERONICA MURILLO
Title or Position: OWNER
Credential:
Phone: 559-374-7292