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1396063475 NPI number — C & R MEDICAL TRANSPORTATION

NPI Number: 1396063475
Health Care Provider/Practitioner: C & R MEDICAL TRANSPORTATION

Information about “1396063475” NPI (C & R MEDICAL TRANSPORTATION) exists in 1396063475 in HTML format HTML  |  1396063475 in plain Text format TXT  |  1396063475 in PDF (Portable Document Format) PDF  |  1396063475 in an XML format XML  formats.

NPI Number : 1396063475 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1396063475",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "C & R MEDICAL TRANSPORTATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "16350 S. HARBOR BLVD #1106",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FOUNTAIN VALLEY",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "92708",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "714-839-2611",
    "MailingAddressFaxNumber": "714-839-2611",
    "FirstLinePracticeLocationAddress": "16350 S HARBOR BLVD",
    "SecondLinePracticeLocationAddress": "#1106",
    "PracticeLocationAddressCityName": "SANTA ANA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92704-3848",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "714-839-2611",
    "PracticeLocationAddressFaxNumber": "714-839-2611",
    "EnumerationDate": "05/13/2010",
    "LastUpdateDate": "05/13/2010",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "FLORES",
    "AuthorizedOfficialFirstName": "ROSA",
    "AuthorizedOfficialMiddleName": "MARIA",
    "AuthorizedOfficialTitle": "GENERAL PARTNER",
    "AuthorizedOfficialNamePrefix": "MS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "714-839-2611",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "343900000X",
        "TaxonomyName": "Non-emergency Medical Transport (VAN)",
        "LicenseNumber": "330653",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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