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General NPI Number Information
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NPI Number | 1003183807
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Entity Type | Organization
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Legal Business Name | LOS ANGELES MEDICAL TRANSPORTATION, LLC
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Dates
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Enumeration Date | 11/21/2011
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Last Update Date | 11/21/2011
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Provider Practice Location Address
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Address Line | 16000 WEST RD
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City | WHITTIER
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State | CA
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Zip | 90603-1441
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Country | US
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Telephone | 323-581-4396
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2129
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City | HUNTINGTON PARK
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State | CA
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Zip | 90255-1429
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Country | US
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Telephone | 323-581-4396
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Fax |
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Authorized Official
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Title or Position | PRESIDENT / CEO
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Name | DR. FELICIANO SERRANO II
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Credential | M. D.
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Telephone | 562-964-1923
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State | CA
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