MEDICARE: TTS MED-LEGAL TRANSPORT CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1033515192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TTS MED-LEGAL TRANSPORT CORP

Provider Business Mailing Address
First Line	:	14080 PALM DR
Second Line	:	SUITE D
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-2100
Country	:	US
Telephone Number	:	909-237-3060
Fax Number	:	760-329-2908

Provider Business Practice Location Address
First Line	:	14080 PALM DR
Second Line	:	SUITE D
City	:	DESERT HOT SPRINGS
State	:	CA
Zip	:	92240-2100
Country	:	US
Telephone Number	:	909-237-3060
Fax Number	:	760-329-2908

Authorized Official
Title or Position	:	CEO
Name	:	MR. JOSE A PEREZ
Credential	:
Telephone Number	:	909-237-3060

Provider Enumeration Date	:	11/17/2014
Last Update Date	:	11/17/2014

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