Healthcare Provider Details

I. General information

NPI: 1366154668
Provider Name (Legal Business Name): ENJOY TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 05/13/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21151 S WESTERN AVE # 148
TORRANCE CA
90501-1724
US

IV. Provider business mailing address

21151 S WESTERN AVE # 148
TORRANCE CA
90501-1724
US

V. Phone/Fax

Practice location:
  • Phone: 323-236-4976
  • Fax:
Mailing address:
  • Phone: 323-236-4976
  • 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: MR. RENE VASQUEZ
Title or Position: OWNER
Credential:
Phone: 323-236-4976