MEDICARE: DEL SOL ASSISTED TRANSPORT

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	:	1144003211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DEL SOL ASSISTED TRANSPORT

Provider Business Mailing Address
First Line	:	6104 SEPULVEDA BLVD STE 1007
Second Line	:
City	:	VAN NUYS
State	:	CA
Zip	:	91411-2503
Country	:	US
Telephone Number	:	747-955-9818
Fax Number	:

Provider Business Practice Location Address
First Line	:	12931 1/2 PIERCE ST # 235
Second Line	:
City	:	PACOIMA
State	:	CA
Zip	:	91331-2527
Country	:	US
Telephone Number	:	747-955-9818
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SANDRA CONTRERAS
Credential	:
Telephone Number	:	747-955-9818

Provider Enumeration Date	:	08/14/2023
Last Update Date	:	08/14/2023

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Directions to “DEL SOL ASSISTED TRANSPORT ” Practice Location

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