MEDICARE: QUEST LIMO EXPRESS

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	:	1114169554
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUEST LIMO EXPRESS

Provider Business Mailing Address
First Line	:	8907 S HARVARD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-3614
Country	:	US
Telephone Number	:	310-686-0684
Fax Number	:

Provider Business Practice Location Address
First Line	:	8907 S HARVARD BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90047-3614
Country	:	US
Telephone Number	:	310-686-0684
Fax Number	:

Authorized Official
Title or Position	:	CHEF OPERATIONS OFFICER
Name	:	MR. VAN C. DAVIS
Credential	:
Telephone Number	:	310-686-0684

Provider Enumeration Date	:	03/31/2009
Last Update Date	:	03/31/2009

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Directions to “QUEST LIMO EXPRESS ” Practice Location

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