=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366252108
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FORTE SOCIETAL
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/13/2025
-----------------------------------------------------
Last Update Date | 05/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21151 S WESTERN AVE SUITE 146
-----------------------------------------------------
City | TORRANCE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90501-1724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 424-470-5811
-----------------------------------------------------
Fax | 888-792-6665
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 21151 S WESTERN AVE STE 146
-----------------------------------------------------
City | TORRANCE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 90501-1724
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 424-470-5811
-----------------------------------------------------
Fax | 888-792-6665
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | SANDRA FORTE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 213-509-6236
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------